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Issue Number - Name
0127-Transforaminal Epidural Injections Bill with Guidance
Review Type
Automated
Claim Type
Physician/Non-Physician Practitioner
Region and State
RAC 1-4
All A/B MACs
Date Approved
12/11/2018

Description

Based on the American Medical Association (AMA), Current Procedural Terminology (CPT), CPT Codes 77001-77003 and 77012 are not to be reported with CPT Codes 64479-64480 and 64483-64484. Codes 64479 – 64484 already include imaging guidance (fluoroscopy or CT) and guidance codes are not be billed in addition to these procedures.

Affected Codes

77001-77003 and 77012

Applicable Policy References

Social Security Act: Section 1833(e)
American Medical Association (AMA), Current Procedural Terminology (CPT) 2015–current (see description included in CPT manual under Radiologic Guidance/Fluoroscopic Guidance)