before adding 59 modifier , i would review 72275 was this diagnostic procedure, was a report provided for this. If you are going to bill 72275 and 77003 on the same claim was one a theurapetic injection and one diagnostic.
I would run a report of how many times 72275 has billed in the past 6 months and review that the criteria is being met to bill this
from cpt assistant 2009
radiology/diagnostic radiology (diagnostic imaging)
question:during various injections of therapeutic substances into the spine, contrast is often injected to ensure that the needle or catheter is in the epidural space. Is it appropriate to code72275, epidurography, radiologic supervision and interpretation, in addition to the appropriate injection code?
Answer:no. Code 72275 is only to be used when an epidurogram is performed, images documented, and a formal radiologic report issued. A statement indicating that contrast flows in the epidural space would only document localization and would not represent a diagnostic epidurogram. The introductory language in surgery/nervous system for spine and spinal cord, under injection, drainage, or aspiration in the cpt 2009 states that “injection of contrast during fluoroscopic guidance and localization is an inclusive component of codes 62263, 62264, 62267, 62270-62273, 62280-62282, 62310-62319. Fluoroscopic guidance and localization is reported with 77003, unless a formal contrast study (myelography, epidurography, or arthrography) is performed, in which case the use of fluoroscopy is included in the supervision and interpretation codes” (cpt 2009, p270).
uring various injections of therapeutic substances into the spine, contrast is often injected to ensure that the needle or catheter is in the epidural space. Is it appropriate to code72275, Epidurography, radiologic supervision and interpretation, in addition to the appropriate injection code?