mdfoster
New
When billing for an injections (ie facet joint injection , 64494, 64485) whereas fluoroscopic guidance is included in that code (according to CCI Edit), is a provider permitted to bill seperately for the diagnostic radiological exam (i.e. 72040, using the xray image intensifier)? Wouldn't this be an integral part of the fluoroscopic guidance? Please provide any specific references indicating why or why not.
When billing for an injection (i.e., ESI 62311) which does not include fluoroscopic guidance and the flouroscopy can be billed separately (77003). In this instance, is it also allowable to bill seperately for the diagnostic radiological exam (i.e. 72040, using the xray image intensifier)? Would you expect that a hard copy of the produced images to report a diagnostic radiological exam?
I cannot find any guidelines that says that this is not allowed. However, it does not seem appropriate to me. Thanks.
When billing for an injection (i.e., ESI 62311) which does not include fluoroscopic guidance and the flouroscopy can be billed separately (77003). In this instance, is it also allowable to bill seperately for the diagnostic radiological exam (i.e. 72040, using the xray image intensifier)? Would you expect that a hard copy of the produced images to report a diagnostic radiological exam?
I cannot find any guidelines that says that this is not allowed. However, it does not seem appropriate to me. Thanks.