LOCAL COVERAGE DETERMINATION
LCD Database ID Number
L29165 – Florida
L29338 – Puerto Rico/Virgin Islands
First Coast Service Options, Inc.
09102 – Florida
09202 – Puerto Rico
09302 – Virgin Islands
Effective 01/01/2007, use CPT add-on code 77003 for the fluoroscopic guidance of the needle. Note that this code is defined as “for injection procedures” (plural), and so it may be billed only once regardless of the number of levels addressed. Codes 77001, 77002 and 77003 were established effective 01/01/2007 to replace codes 75998, 76003, and 76005, respectively.
Effective 01/01/2007, use CPT add-on code 77012 for the computerized tomography guidance for needle placement (e.g., biopsy, aspiration, injection, localization device), radiological supervision and interpretation.
Injection of contrast during fluoroscopic guidance and localization (77003) is included in procedure codes 62310-62319.
CPT code 72275 includes fluoroscopic guidance and localization; therefore, CPT code 77003 should not be reported in addition to CPT code 72275.
Imaging guidance [fluoroscopy or CT] and any injection of contrast are inclusive components of 64479-64484. Imaging guidance and localization are required for the performance of 64479-64484.
V58.61 (Long-term (current) use of anticoagulants) should be used only as a supplementary code in addition to the primary diagnosis. This code should be reported when the use of anticoagulants has been temporarily discontinued to facilitate multiple interventional therapeutic modalities (e.g., facet joint blocks, trigger point injections, lumbar sympathetic blocks.) for pain management.
1- Annual 2011 HCPCS Update. Revised Coding Guidelines regarding Fluoroscopy or CT, imaging guidance and localization included in codes 64479-64484. The effective date of this revision is based on date of service.
Document formatted: 12/01/2010 (SSE/et)