Still not clear on interlaminars and 77003

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My billing chick is driving me nuts about this. She insists I will not get paid for 77003 with 62310 and 62311. I checked the 2012 CPT manual on page 292 and the wording does seem to exclude interlaminars now. Does anyone know yet?

Your billing person is plain wrong. She works for u and not the other way around. Tell her to bill the the 77003 with interlaminars, end of story. Ultimately the physician is responsible for what is billed, so if you want something billed, it gets billed.

Print out the summary of coding changes on the ISIS homepage if you want to her to see it in black and white.

u can try asipp webite also they are a great resourse

Thanks for the info! The ISIS page does spell it out perfectly - I just hadn't been there in a while. That's exactly what I needed.

Glad to help.

Fuoro is not bundled with ILESI. Contrast and other injectables are.

Fluoro is bundled with TFESI, MBB, FJI and RFA

Originally Posted by PMR 4 MSK

Fluoro is bundled with TFESI, MBB, FJI and RFA

and sacroiliac joints now too, if I understand the new codes correctly...

Originally Posted by knoxdoc

and sacroiliac joints now too, if I understand the new codes correctly...

yes,

unfortunately

Originally Posted by PMR 4 MSK

Fuoro is not bundled with ILESI. Contrast and other injectables are.

Fluoro is bundled with TFESI, MBB, FJI and RFA

I though you could still bill your steroid with an ILESI. I haven't been able to get a clear answer on that one.

Originally Posted by bedrock

I though you could still bill your steroid with an ILESI. I haven't been able to get a clear answer on that one.

Yes, re-reading it, I believe you are correct. Contrast is included/bundled, not steroid.

They did not bundle 62310 and 62311, because if they did bundle it they wouldhave to increase its RVU value to accommodate the bundling.

62310 and 62311 are performed all the time without flouro i.e. preoperativeOR anesthesia and OB anesthesia.

If they bundled it and increased its RVU then the preoperative OR anesthesiaand OB anesthesia 62310 and 62311 would have an increased RVU value and getpaid more i.e. costing them a lot of money.

So they did not bundle it like they did everything else so they could save themselvessome money not to help us.

I like that explanation. Thanks.

62311 is not the same code as for OB or peri-operative anesthesia...

CPT codes 62310 (cervical or thoracic) and 62311 (lumbar) describe a single injection of a diagnostic or therapeutic substance, not including neurolytic substances, directly into the subarachnoid or epidural space. This type of spinal injection is often described as an interlaminar epidural injection, because of the injection technique being performed directly through the lamina, positioning the needle close to the midline in the back of the epidural space.

but yes, it is NOT bundled...