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Injections in an outpatient facility

Jade Posted Tue 17th of March, 2020 18:35:40 PM
When billing joint injections 20610 with 77002 in an out patient facility (POS 24), on a UB04, the fluoroscopic guidance (77002) is processing as disallowed. It appears that we are allowed to bill them; however they are frequently denied as incidental. We bill this with REV Code 320. Is this accurate? Is there a way to support or modify to make this payable?
SuperCoder Answered Wed 18th of March, 2020 04:10:36 AM

Hello Jade,

Thank you for your question.

 

As per CMS, the payment indicator for CPT® code 77002 in an ASC setting is N1 which denotes Packaged service/item; no separate payment made. Therefore, no separate payment will be made for this code in POS 24.

 

Hope that helps!

Thanks

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