Coding & Billing
Getting Paid for Pain Management Fluoroscopy
Lolita Jones, RHIA, CCS
Good news if your facility hosts pain management cases. Many payers no longer bundle fluoroscopy along with spinal injections, meaning you might be able to collect an additional facility fee for fluoroscopy. The company that provides code-bundling software to private health plans, including many Blue Cross Blue Shield licensees, has discontinued the edits bundling fluoroscopy CPT code 76005 in with many spinal injection codes, creating the possibility of obtaining additional reimbursement for fluoroscopy. Here are six tips for knowing if and when you're eligible to collect for this service.