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Neurosurgery Coding Alert

YOU BE THE CODER ~ Insurers May Balk at Paying Multiple Units of 77002

Published on Tue Feb 27, 2007

Question: When we perform multiple injections at the same time, can we report 77002 (76003 in CPT 2006) more than once?

Colorado Subscriber

Answer: Technically you should be able to report new code 77002 more than once for each separate service, but your payer may have another opinion.

The descriptor for 77002 (Fluoroscopic guidance for needle placement [e.g., biopsy, aspiration, injection, localization device]) says, -guidance for needle placement- in the singular. The descriptor also does not have a specific time range like some other fluoroscopic codes, so time is not a factor.

Fluoroscopic guidance is bundled into numerous services though, so check National Correct Coding Initiative edits before you code.
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