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Does CPT code 77003 need a modifier?

Standard

Does CPT code 77003 need a modifier?

Facet Neurotomy should be performed with imaging guidance (CPT code 77003, modifier required).

Does CPT code 64520 include fluoroscopy?

Fluoroscopy is allowed with this code, it will however require a modifier -59 to indicate that it was medically necessary and a separate component of the original procedure.

What is procedure code 64520?

64520. INJECTION, ANESTHETIC AGENT; LUMBAR OR THORACIC (PARAVERTEBRAL SYMPATHETIC)

What is the difference between 77002 and 77003?

CPT code 77002 is only used with non-vascular procedure like biopsy, injection etc. While CPT code 77003 is used for only for spinal procedures.

Can 62321 and 77003 be billed together?

Under the new coding scheme, physicians still are not allowed to report codes 77003, 77012, 76942 or any other guidance codes in addition to epidural injections. However, they can choose from codes 62321, 62323, 62325, and 62327 that include the imaging as reflected in the increased wRVUS.

Can you bill 64520 multiple levels?

64520 has an MUE value of 2. It is my understanding that this means that the code can be billed up to two times on the same claim without triggering a need for documentation.

Does 64450 include fluoroscopy?

According to the Correct Coding Initiative (CCI) edits, 77002 is a Column 2 code of 64450, showing that the fluoroscopic guidance normally is considered part of the injection service.

Are occipital nerve blocks painful?

Occipital nerve blocks are generally considered safe. However, like any medical procedure, there are some risks. The most common side effect is pain or irritation at the injection site.

Are occipital nerve blocks covered by insurance?

Will my insurance cover the procedure? The occipital nerve block is a well established medical procedure, and is reimbursed by most insurance companies.

Is CPT 77002 an add-on code?

77002 is an add-on code; meaning it’s added to the primary procedure–62370. The description for 77002 also tells you to report it “separately in addition to code for primary procedure.” You do have to retain an image and a radiology report in the patient’s record.