Medical Coding

Category - Radiology

A patient needs to have an epidural and, due to compressed discs, this procedure is done under fluoroscopic guidance. What is the correct code for this type of fluoroscopic procedure?
  1. 77002
  2. 77003
  3. 77011
  4. 77012
Explanation
Answer: B - 77003 is the correct code for fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid).

Code 77002 is incorrect because this code is for fluoroscopic guidance for needle placement (biopsy, aspiration, injection, localization device). Code 77011 is incorrect because this code is for computed tomography guidance for stereotactic localization. Code 77012 is incorrect because this code is for computed tomography guidance for needle placement, radiological supervision and interpretation.
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