Question:

We are performing intrathecal chemo administration and assigning code 96450. We are also doing fluoro for needle guidance, which would be assigned 77003. However, with the new 2017 CPT® guideline, 96450 is not a primary procedure code to 77003. How should we bill for the fluoro guidance?

Answer:

Currently, because of the 2017 CPT guideline, fluoro is considered included in 96450 (chemotherapy administration, into CNS [e.g., intrathecal], requiring and including spinal puncture) and no longer separately billable. The 2018 CPT manual includes 96450 as a primary code for 77003, so beginning on January 1, 2018 you should be able to report 77003 with 96450 again.

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This question was answered in the September edition of our Radiology Compliance Manager. For more hot topics relating to radiology services, please view our store, or call us at 1.800.252.1578 ext. 2.

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Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

CPT is a registered trademark of the American Medical Association.