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62350, 62362 is Fluoroscopy included / bundled

K Posted Tue 11th of August, 2015 11:32:45 AM

Is the fluoroscopy that is used to identify the proper location, included / bundled in the implantation of the catheter 62350 and pump 62362 or do we bill with modifier 59 on the fluoroscopy code?

Thank you!

SuperCoder Answered Wed 12th of August, 2015 01:05:34 AM

According to guidelines by the American Association of Neurological Surgeons, use of fluoroscopy to place the catheter is inherent to 62350 and 62362 and should not be coded separately. Although National Correct Coding Initiative (NCCI) edits prohibit use of fluoroscopy code 76000 with 62350, they do not prohibit use of fluoroscopy code 77003 with 62350. Similarly, NCCI edits exist for use of fluoroscopy codes 76000, 76001, and 77002 with injection code 62319, but there is no edit for fluoroscopy code 77003. Check with the carrier or payer for specific billing and coverage guidelines.

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