77003 with 62311
Hello,
There was an NCCI edit added April 1 which became retroactive to January 1, 2015 that conflicts with the 2015 CPT guidelines stating fluoroscopic guidance is not included in codes 62310 and 62311 and, if utilized, should be reported with 77003.
In the MPFS final rule, CMS 1612-FC, CMS states: "After considering comments received, we are finalizing CPT codes 62310, 62311, 62318, and 62319 as potentially misvalued, finalizing the proposed RVUs[relative value units] for these services, and prohibiting separate billing of image guidance in conjunction with these services".
In a nutshell, CMS believes that the new value of these codes are enough to include the guidance portion and should not be billed separately. There are times that CMS rules conflict with AMA/CPT rules so always check with your payer as which rule they follow since commercial payers may still pay it.