tci Outpatient Facility Coding Alert - 2013 Issue 7

Reader Question: Don't Miss the Column 2 Edits for 64450 With 77002

Question: I have looked, but cannot find information regarding whether you can bill 64450 with guidance code 77002. Can you help? South Carolina Subscriber Answer: You can report 64450 (Injection, anesthetic agent; other peripheral nerve or branch) with 77002 (Fluoroscopic guidance for needle placement [e.g., biopsy, aspiration, injection, localization device]) under certain conditions.  According to the Correct Coding Initiative (CCI) edits, 77002 is a Column 2 code of 64450, showing that the fluoroscopic guidance normally is considered part of the injection service. The edits bundle the two codes with a modifier indicator of “1,” however...

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