What is Epidurography?

What is Epidurography?

Diagnostic epidurography is performed to assess the structure of the epidural space in your spine. This procedure is done before epidural steroids are administered to ensure accurate delivery of this therapeutic material to the source of your pain.

Can CPT code 72275 be billed with 62323?

Thanks! 72275 is included in 62323, per NCCI edits.

Does CPT code 64484 need a modifier?

When reporting CPT codes 64479 through 64484 for a unilateral procedure, use one line with one unit of service. For bilateral procedures regarding these same codes, use one line and append the modifier-50. For services performed in the ASC, modifier -50 should not be utilized.

What is included in CPT code 62323?

Injection
CPT® 62323 in section: Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural more.

Is epidural a shot?

An epidural injection is an injection of medication into the space around the spinal cord, also known as the epidural space, to provide temporary or prolonged relief from pain or inflammation.

Can CPT code 72275 be billed with 62321?

The NCCI edits preclude separate reimbursement for CPT Code 72275, epidurography, and the AMA precludes separate reimbursement for fluoroscopic guidance, CPT Code 77003, when performed with CPT Codes 62321, 62323, 62325, and 62327.

How do you bill a transforaminal epidural?

A transforaminal epidural steroid injection (TFESI) performed at the T12-L1 level should be reported with CPT code 64479. When reporting CPT codes 64479 through 64484 for a unilateral procedure, use one line with one unit of service.

What is the CPT code 64484?

CPT® Code 64484 – Introduction/Injection of Anesthetic Agent (Nerve Block), Diagnostic or Therapeutic Procedures on the Somatic Nerves – Codify by AAPC.

Does Medicare pay for 64625?

Sacroiliac (SI) Joint Nerve Denervation (CPT code 64625) Medicare does not have a National Coverage Determination (NCD) for SI nerve denervation.

Does Medicare cover code 62323?

Medicare is establishing the following limited coverage for CPT/HCPCS codes: 62321, 62323, 62325, 62327, 64479, 64480, 64483, and 64484.

What is the difference between CPT code 77003 and 72275?

The CPT code 72275 (Epidurography, radiological supervision and interpretation) differs from CPT code 77003 in that it represents a formal recorded and reported contrast study that includes fluoroscopy. Epidurography should only be reported when it is reasonable and medically necessary to perform a diagnostic study

What is the CPT code for epidurography with fluoroscopy?

Thank you! Below is from WPS Medicare J5 LCD for epidurals. The CPT code 72275 (Epidurography, radiological supervision and interpretation) differs from CPT code 77003 in that it represents a formal recorded and reported contrast study that includes fluoroscopy.

What is the CPT code for J5 LCD for epidurals?

Below is from WPS Medicare J5 LCD for epidurals. The CPT code 72275 (Epidurography, radiological supervision and interpretation) differs from CPT code 77003 in that it represents a formal recorded and reported contrast study that includes fluoroscopy.

Do not Bill CPT code 73542 for injection of contrast?

Do not bill CPT code 73542 (Radiologic examination, sacroiliac joint arthrography, radiological supervision and interpretation) for injection of contrast to verify needle position. The CPT code 73542 is only to be billed for a medically necessary diagnostic study and requires a full interpretation and report.