Fluoroscopy

Does anyone have any information on billing for fluoroscopy and contrast? We recently bought a fluoro machine and omnipaque 300 contrast and I want to make sure I am reporting it correctly. We are doing in-office facet joint injections and other spine injections, lumbar punctures...

Thanks

Fluoro Medicare

CPT 77003 for fluoroscopy is inherent in the definition of each 2010 new code; therefore, it is not necessary to bill for image guidance and any injection of contrast. According to CPT 2010: "Imaging guidance and localization are required for the performance of paravertebral facet joint injections described by codes 64490 – 64495. If imaging is not used, report 20550-20553."

contrast

Thanks for your response, Nancy. I have always admired your wealth of knowledge! Just for a little more clarification, we would not report the contrast material (omnipaque300, is what we purchased) separately?

contrast

Could you refresh my memory what was the initial question?

contrast

You would in office setting Q9967 but payment varies with payer policy (office setting).