Wiki 72275 denied to 62311

[coders_rock!]

Does anyone know if 72275 can be billed with 62311.

62311 was paid and 72275 was denied. I am thoroughly confused. Can someone help me understand the guidelines?

Thank you!

 

[rnrray2005]

I know in our office when we bill the 72275 we have to bill it with -26 -59 modifiers and we have to have the copies of the image and on the report it has to mention a possible blockage otherwise it won't be paid

 

[aaron.lucas]

72275 can be billed along with any of the interlaminar epidurals (62310-62319), however it is considered a separate procedure which requires it's own report. Think of it as an x-ray that is taken using the fluoro machine (which is why fluoro is included) and along with an injection of contrast. The documentation should include a separate radiology report detailing the findings. Depending on place of service you may need to append modifier -26 (ASC for example). Also it should be billed just like fluoro, one unit per region, not per level, in case you were curious. Hope this helps!