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Flouroguided Epidural Steroid injection

Date: Dec 5, 2014

Question:

The instruction under code 77003 says, "Injection of contrast during fluoroscopic guidance and localization [77003] is included in 22526,...., 62310-62319." And yet there is no NCCI edit. We have not been coding for the guidance since discovering this note. Does this note mean that we can charge code 77003 if it is for localization but not if contrast is injected? How should this note be interpreted?

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