Any thoughts on this is apprciated.. It is the injection of the contrast that cannot be billed. The wording is correct and not confusing. The payer may be all confused but the book is clear. You just cannot bill for the injection of the contrast as an additional charge. I would appeal the denials. AC Contributor. See the November 13, , Federal Register Doc , pages , After considering comments received, we are finalizing CPT codes , , , and as potentially misvalued, finalizing the proposed RVUs for these services, and prohibiting separate billing of image guidance in conjunction with these services.?
The rationale was that to allow the use of CPT would overestimate the resources used in furnishing the overall service. RSammons New. I am also now getting NCCI edit denials. I am following this for any additional info. I don't think we've gotten any denials from commercial payers yet.
Spondylosis noted at the level of L4 through S1. Hard copies of the images are on file. All Rights Reserved. Privacy Policy. Cookie Policy. Linking and Reprinting Policy. Small Medium Large. Example 1: Epidurogram — diagnostic study Procedure: Intraoperative lumbar epidurography The patient underwent lumbar epidural steroid injection today with hard-copies on file.
Conclusion: Good epidural dye containment from L3-S1 with intervertebral disc protrusion at the level of L4-L5, maintaining less than normal intervertebral disc height at level L4-L5. Learn more about Medi-Corp. For a better experience, please enable JavaScript in your browser before proceeding. You are using an out of date browser. It may not display this or other websites correctly. You should upgrade or use an alternative browser.
Thread starter debtaube Start date Aug 16, I am finding conflicting info. Messages 4 Best answers 0. I am not able to get BCBS to pay for I thought was included within those codes. It may not display this or other websites correctly. You should upgrade or use an alternative browser. Thread starter jeashore Start date Feb 12, Tags billed epidural fluoroscopy included. I bill for an ASC and BCBS is notifying us that and can't be billed together, that fluoroscopy is included in the procedure code.
I know contrast dye can't be billed separately, but not understanding why we are being told fluoroscopy is included in these 2 epidural codes when the description does not state with or including imaging guidance.
Any input would be great! Thank you. Last edited: Feb 12, Messages Best answers 0. You can bill fluoroscopy separately, it will need the 59 modifier.
0コメント