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when to add fluoroscopy to a procedure?

Lynn Posted Tue 28th of December, 2010 09:53:38 AM

In what way can I find out if fluoroscopy needs added to a procedure code or if it is already bundled in? CCI edits will show a RVU of 0.00 sometimes and I wonder if this means I shouldn't add a fluoroscopy code?
Thank you ahead of time for any help you can give.

SuperCoder Answered Tue 28th of December, 2010 14:08:45 PM

When CCI lists fluoro as a Column 2 code, you should not append a modifier to override the edit unless the fluoro is for a separate encounter or on a separate body part. If CPT or CCI doesn’t define fluoro as part of a procedure, you can report fluoro for a physician who supervises and interprets the flurosocopy during an operative procedure.

The physician must document fluoro use and what it revealed. Be sure to use modifier 26 for physician coding for hospital procedures.

CPT defines 76000 and 76001 in terms of physician time. The physician does not have to personally operate the fluoro machine, but he is required to supervise the technologist who is operating it and must interpret the images. The op report again should indicate fluoro use and findings.

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