Is it appropriate to bill the fluoroscopic code 77003 with the Translaminar Lumbar Epidural 62311? In the cpt under the chapter guidelines under Spine and spinal cord it says "Injection of contrast during fluoroscopic guidance and localization is an inclusive component of 62310-62319." "fluoroscopy (for localization) may be used in the placement of injections reported with 62310-62319, but is not required. If used fluoroscopy should be reported with 77003." Then under the chapter guidelines under 77003 is says "injection of contrast during fluoroscopic guidance and localization (77003) is included in 62310-62319." It does not say "do not report". Then in Medicare CCI 62311 is the column 1 code and in column 6 it has a 1 so a modifier is allowed. If you bill 62311 and 77003 it will be denied but if you bill 62311 and 77003-XS is will pay but is this appropriate?
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