Ask Dr. Z

I am a hospital coder. Our interventional radiologist is performing a "fluoroscopic guided L4-5 and L5-S1 intradiscal steroid injection". "Lateral aspects of the L4-5 and L5-S1 disks were accessed. Contrast was injected into each disk confirming that the contrast extended throughout the entire disk space. Then, Medrol and Marcaine were injected into each disk. The spinal needles were withdrawn." The IR dept would like to charge for two level discography. I don't feel this px is documented as a true discogram but don't know what other codes would be applicable. 77003 for the fluoro guidance but don't know what surgical CPT would apply outside of using an unlisted CPT. Thanks for your advice Dr Z.!