FIRST COAST
SERVICE OPTIONS
LOCAL COVERAGE DETERMINATION
CODING GUIDELINES
LCD Number
62310
LCD
Database ID Number
L29165 – Florida
L29338 – Puerto Rico/Virgin Islands
Contractor Name
First
Coast Service Options, Inc.
Contractor
Number
09102 – Florida
09202 – Puerto Rico
09302 – Virgin Islands
LCD Title
Epidural
Coding Guidelines
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.
Comments
N/A
Revision History
|
Date |
Revision |
|
01/01/2011 |
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. |
|
02/02/2009 –
Florida |
Original |
Document formatted:
12/01/2010 (SSE/et)