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Question:
We are performing intrathecal chemo administration and assigning code 96450. We are also doing fluoro for needle guidance, which would be assigned 77003. However, with the new 2017 CPT® guideline, 96450 is not a primary procedure code to 77003. How should we bill for the fluoro guidance?
Answer:
Currently, because of the 2017 CPT guideline, fluoro is considered included in 96450 (chemotherapy administration, into CNS [e.g., intrathecal], requiring and including spinal puncture) and no longer separately billable. The 2018 CPT manual includes 96450 as a primary code for 77003, so beginning on January 1, 2018 you should be able to report 77003 with 96450 again.
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