Minerva Posted Tue 10th of May, 2011 20:38:49 PM
If physician states he did bilateral injection under fluoroscopic guidance can we bill the fluoroscopic twice since it was done bilateral.
SuperCoder Answered Wed 11th of May, 2011 03:13:45 AM
If bilateral SI joint injections with arthrography are performed with fluoroscopic guidance, report 27096 with modifier 50 Bilateral procedure.
Report CPT® 27096 only if SI joint injections with arthrography are performed with fluoroscopic guidance. If fluoroscopy is not used, CPT® 20610 Arthrocentesis, aspiration and/or injection; major joint or bursa (eg, shoulder, hip, knee joint, subacromial bursa) is more appropriate.
Use CPT® 77003 Fluoroscopic guidance for needle localization of a basic therapeutic SI joint injection; or report CPT® 73542 Radiological examination, sacroiliac joint arthrography, radiological supervision and interpretation for a more diagnostic SI joint injection and arthrogram (CPT® Assistant, July 2008). If billing 73542, radiographic hard copies of the arthrograms need to be obtained in multiple views and a separate radiologic interpretation and report need to be dictated. Note that CPT® 73542 includes 77003, so it would not be appropriate to bill for both.