Wiki Injections-Need opinion..

msingh23

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Need opinion...
1. Billing 64483, 64484 ,64493,64494 done with Fluroscopic image guidance, do we bill 77003.. I though it's included so no need to have this recorded in the claims submit.., a staff from my billing area indicate I still need to invoice this ???

2. Billing 64493,64491 & 27096 done with Fluroscopic image guidance, do we bill 77003..??
Thanks
msingh23
 
The description of these codes in CPT indicate "imaging guidance...are inclusive components of ...", and that the imaging is required; therefore you would not bill them separately.
 
Broadhim is correct.
While it is required to use the flouro to perform/bill these procedures, they are not payable separately. In addition, be careful of what you are billing. Check the documentation for billing 27096 with 64493-64495. Many times I have found that the provider is trying to bill sacral level with the 27096 but it is just an additional level of facet (i.e. L3-5 and S1). I would say the same for the other scenario you mentioned.
 
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