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Flouro for 2015

Lindye Posted Thu 05th of February, 2015 12:37:28 PM

There is so much confusion regarding billing 62311,62310 with 77003. We are in Texas and I have read articles from Novitas saying that flouro is included in the procedures for 2015.It does not include it in the description in CPT Plus 2015. I have also read that the 2 are billable together. We have been billing it and Novitas has been paying the flouro for 2015. Can you verify if this is correct in Texas? Should we bundle flouro with injection code? Thanks for your help

SuperCoder Answered Fri 06th of February, 2015 07:25:43 AM

Thank you for your question. We are currently researching.

SuperCoder Answered Fri 06th of February, 2015 07:25:43 AM
SuperCoder Answered Fri 06th of February, 2015 10:41:18 AM

Thank you.

There is some confusion due to CCI edits that haven't "caught up" with the final rule in the Federal Register.

The codes 62311,62310 should NOT be billed with 77003.

While they may process at this point, there is the potential for retrospective audits that would require repayment.

Please see the link to the Federal Register below:

Click on the link for CMS-1612-FC at the bottom of the page.

In the PDF the section 'Epidural Injection and Fluoroscopic Guidance—CPT Codes 62310, 62311, 62318, 62319, 77001, 77002 and 77003" starts on page 67578 with the final decision on the following page.
After considering comments received, we are finalizing CPT codes 62310, 62311, 62318, and 62319 as potentially misvalued, finalizing the proposed RVUs for these services, and prohibiting separate billing of image guidance in conjunction with these services.

SuperCoder Answered Fri 06th of February, 2015 13:48:40 PM

Hi Lindye-

I wanted to follow up that this is a Medicare change. Other pays may still allow fluoroscopy to be billed with 62310-62319.

Lindye Posted Fri 06th of February, 2015 16:14:18 PM

Thanks for your help in clearing this up.

SuperCoder Answered Fri 06th of February, 2015 16:53:58 PM

You are welcome.

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