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77003 documentation requirements

Kelly Posted Mon 20th of April, 2015 14:17:54 PM

physician doing DX LBP (62270) w/ fluoro (77003). Does the physcian need to document fluoro in the body of the report to bill 77003. Can you also provid a link for documentation requirements when billing radiology guidance

SuperCoder Answered Tue 21st of April, 2015 01:05:12 AM

From a CPT coding perspective, reporting a radiologic guidance procedure code, including codes 76000 and 77003, requires a separate distinctly iden-tifiable report, or documentation within the report for the procedure where guidance was used, and should be signed by the interpreting physician, as indicated in the Radiology Guidelines.
Please find CPT Assistant November 2010; Volume 20: Issue 11 for
Fluoroscopy-76000, 76001, 77001, 77002, and 77003. Link

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