Monday, July 12, 2010

Billing CPT 76001 WITH 47500, 78400, 49427

Include Fluoroscopy with Several GI Injection Procedures

CCI bundles fluoroscopy codes 76000 (Fluoroscopy [separate procedure], up to 1 hour physician time, other than 71023 or 71034 [e.g., cardiac fluoroscopy])

76001 (Fluoroscopy, physician time more than 1 hour,assisting a nonradiologic physician [e.g.,
nephrostolithotomy,ERCP, bronchoscopy, transbronchial biopsy]) with several injection procedures your gastroenterologist might perform. You will find both codes bundled
with the following codes:

47500 — Injection procedure for percutaneous transhepatic cholangiography
48400 — … for intraoperative pancreatography (List separately in addition to code for primary procedure)
49427 — … (e.g. contrast media) for evaluation of previously placed peritoneal-venous shunt.
All of these codes have a modifier indicator of “1,” which means you can bill them together under certain clinical circumstances using modifier 59.

Silver lining:
“I have not typically seen these procedures performed by GI providers, but it is possible,” says Bucknam. Typically, interventional radiologists would be coding these procedures instead of your gastroenterologist.

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