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Fluoroscopic spin CT guidance bundled or separate in 75893 & 76080 codes?

Date: Aug 21, 2023

Question:

Does 75893 and 76080 RS&I codes include ALL Imaging Guidance or only Fluoro Guidance?

When adrenal vein sampling is performed and fluoroscopic spin CT guidance is used, should we code 77012 in addition to 75893 (and of course 36500)? There is not a CCI edit between these codes.

Same issue with abscess/fistula tract 76080 study for abscess drain checks. It has been suggested this code only includes fluoroscopic guidance, however this isn’t explicitly stated in the code description and there are no CCI edits between code combinations such as 49424, 76080, & 76380.

Can you clarify if codes 75893 & 76080 include only fluoro guidance, or ALL imaging guidance? Is it appropriate to also code 77012 or 76380 as appropriate if Fluoroscopic spin CT guidance is used?

Question ID : 19310
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