CPT^® 77003, Under Fluoroscopic Guidance

The Current Procedural Terminology (CPT^®) code 77003 as maintained by American Medical Association, is a medical procedural code under the range - Fluoroscopic Guidance.

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Summary

The provider uses fluoroscopic guidance to place a needle or catheter in the spine or area adjacent to the spinal column to perform procedures to detect the extent or cause of a disease or to treat an injury or disease. The goal of the procedure is to identify the level and approach for initial needle placement.

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Pain management procedure/modifier code question

[B]Physician dropped 99213 with modifier 25, 64635 (RADIOFREQUENCY ABLATION RFA SACROILIAC JOINT INJECTION LATERAL BRANCH OF SI JT), and 77003 (FLUOROSCOPIC GUIDENCE). claim denied stating 77003 requi... [ Read More ]

CPT 64445 and 77003

Hi, Is CPT 64445 bundle with CPT 77003? Please advise. Thanks... [ Read More ]

Intercostal RFA CPT

I'm looking at CPT code 64620 (Destruction by neurolytic agent, intercostal nerve) and 77002 would be bundled into 64620 and not separately coded. I say 77002 and not 77003 because 77003 is specific t... [ Read More ]

Intercostal RFA CPT

[QUOTE="thomas7331, post: 499897, member: 5404"] This isn't my specialty, but I think you're using the wrong code - the destruction of the intercostal nerve should be 64620 and the fluoroscopic guidan... [ Read More ]

Intercostal RFA CPT

We do a thermal, non pulsed radiofrequency ablation. We did an intercostal RFA today so we would bill 64640. But how can we bill for the fluoroscopic guidance if 77003 isn't allowed to be an add on co... [ Read More ]

INJECTION 64445

[QUOTE="SharonCollachi, post: 493190, member: 654943"] I grabbed the 2020 CPT book, and on page 437 of mine there is a table for when imaging is included or billed separately. 64445 shows billed sepa... [ Read More ]

INJECTION 64445

I grabbed the 2020 CPT book, and on page 437 of mine there is a table for when imaging is included or billed separately. 64445 shows billed separately. 77003 is for spinal fluoro guidance. Why do y... [ Read More ]

INJECTION 64445

If the provider is using fluoro guidance for needle placement do I add 77002 or 77003 w/TC modifier?... [ Read More ]

Coding spinal cord stimulators

Hello, For the spinal cord stim trial (pain management) I bill the following….63650 (if 2 leads are placed I bill 63650 and 63650-59) I then also bill 95971-59 and 77003. For the permanent spinal ... [ Read More ]

Caudal Epidural Steroid Injections

I have a new physician using new terminology I have not heard before. I received an op note for pain management stating: "A skin wheel was raised using 1 ml of 1% Xylocaine." The op report goes on t... [ Read More ]

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