It comes in the damped harmonic motion becomes narrative free essay on. injection is part of the fluoroscopic guidance and contrast injection to confirm correct needle radiographs necessary to complete a study are included in the CPT code description. No, According to NCCI policy manual, Fluoroscopy CPT 76000 is an integral component of all laparoscopic procedures when performed. KarenZupko & Associates, Inc. 2023 | All Rights Reserved, 3 Revenue Cycle Strategies to Implement During the COVID-19 Pandemic, 6 Communication Tactics for the COVID-19 Pandemic, Managing Cash Flow During the COVID-19 Pandemic and Other Preparation Tips. WebA HCPCS/CPT code shall be reported only if all services described by the code are performed. intraoperative imaging services on outpatient surgeries because many surgical CPTs have been revised to include guidance and/or radiological supervision and interpretation. 3 0 obj
Both CPT code 0394T and 0395T include the work of basic dosimetry calculation when performed. xXMoH#
(J2=L a0Dj1`IBvWU] vKB)X# RfY[8? . Notice of Filing, Filed - of medical records- drs hospital at renaissance et al July 19, 2012. 63688 Revision or removal of implanted spinal neurostimulator pulse generator or receiver. A physician shall not report multiple HCPCS/CPT codes if a single HCPCS/CPT code exists that describes the services. Place of Service: physician office (POS 11). hbbd```b``n+@$y^o_?S%Ll``R\Vc ODkJ8d\PiD,hV#Doqox?`P{thEVGF=6$R 479 0 obj
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Five Myths Your Landlord Wants You to Believe, Telemedicine 101: When, Where, and How to Use It. Please note this question was answered in 2017. When fluoroscopy (7600X) is used during the performance of most operating room / surgical orthopedic procedures (2xxxx), it is incorrect to submit 76000 or 76001, as the fluorocospy is not considered a separate procedure, per the national correct coding initiative (NCCI) edits. ${1"8C8S-[Vi=^rbLA!f`9K""RHG&R E|(eq01FwNxpy{[;1vbTGeUY#:jQ4rl~w.1 K3-&gAwtx?=nw1f5^8t~ff`GAt K:s3V9>JyqKU{y G?q"9Gx?j2/_`UY&;1 Radiological guidance procedures include all radiological services necessary to complete the procedure. Procedure code 77003 in that it represents a formal recorded and reported contrast study that includes Interventional Radiology Procedure code list, fluoroscopy or CPT code 77012 for CT guidance, CPT 29824, 29827,29828 Arthroscopic rotator cuff repair, COLONOSCOPY BILLING CODES CPT 45380 , 45385, Employer Group waiver plan overview and FAQ, CPT code 47562, 47563, 47564 Laparoscopy, surgical; cholecystectomy. "CPT Copyright American Medical Association. A limited or localized followup computed tomography study (CPT code 76380) should not be reported separately with a computed tomography guidance procedure. %%EOF
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Whether you are billing for ultrasounds in the emergency department, clinic, office, outpatient, or inpatient settings we hope you find this helpful. hb``` cc`a028sdvsY(=G)\Sh;u,hce upCUn *This response is based on the best information available as of 1/31/19. endobj
Endoscopic Excision of a Pituitary Tumor (62165) Currently, only one CPT code exists that describes an endoscopic endonasal procedure Bruising is common after core needle biopsy procedures. In the operative report, mentioned about "utilizing intraoperative fluoroscopy and the tibial pins were connected to a transcalcaneal pin." I used CPT 27808 with 20690 to report the Closed treatment of bimalleolar ankle fracture and external fixation. 62310 x 1 62310 x 1 CPT Code 21076 | Description & Clinical Information, CPT Code 27202 | Description & Clinical Information, CPT Code 95819 | Description & Clinical Information, (2022) Billing Guidelines For Reclast, Zometa (Concentrate), And Aclasta, How To Bill Medical Records Requests | Descriptions & Billing Guidelines (2022), Ambulance Modifiers & Codes | How To Bill Ambulance Services (2022), HCPCS Code l3908 | Description & Billing Guidelines, How To Code Weight Loss ICD 10 (2022) List With Codes & Guidelines, (2022) How To Code Thrombocytopenia ICD 10 List With Codes & Guidelines, (2022) How To Code Syncope ICD 10 List With Codes & Guidelines. Description of CPT 77001: Fluoroscopic guidance for central venous access device placement, replacement (complete or catheter only), or removal (includes any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, radiog raphic documentation of fin al catheter position and fluoroscopic guidance for vascular access and catheter manipulation. In this scenario, the RS&I code, 73580, includes fluoroscopy; therefore, code 77002 is not reported separately. Since imaging supervision and interpretation codes An example of data being processed may be a unique identifier stored in a cookie. two code with column one code For example, Procedure code 76930 describes imaging supervision and interpretation for CPT code 77002 describes fluoroscopic guidance for needle placement. Physicians may only bill for the professional component when imaging is performed in a hospital or non-office facility. 2. For example, Procedure code 70332 describes radiological supervision and interpretation of a registered for member area and forum access. Findacode says "Use 47605 if intraoperative cholangiography is also performed by placing a small catheter into the cystic duct, instilling 10-20 ml of contrast, and then visualizing the ducts using fluoroscopy." The part I bolded is the part the surgeon would do. stream
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For example, CPT code 70332 describes radiological supervision and interpretation of a temporomandibular joint arthrogram. Procedure code 77012 for CT guidance.
Can Too Many Quotes Cause A Patient Scheduling Crisis? Description of CPT 76001: This CPT code is deleted in 2009. Joint Injection for Intra-articular Contrast Enhanced CT or MR. The CPT code 72275 (Epidurography, radiological supervision and interpretation) differs from CPT code 77003 in that it represents a formal recorded and reported contrast study that includes fluoroscopy. Save my name, email, and website in this browser for the next time I comment. Lioresal Intrathecal is intended for use by the intrathecal route in single bolus test doses (via spinal catheter or lumbar puncture) and, for chronic use, only in implantable pumps approved by the FDA specifically for the administration of Lioresal Intrathecal into the intrathecal space. The consent submitted will only be used for data processing originating from this website. 51600 injection procedure for cystography or voiding urethrocystography. To determine the prevalence of rotator cuff tears in asymptomatic shoulders we conducted a prospective clinical and ultrasonographic study of 411 volunteers. %PDF-1.7
January 31, 2019. Stimulators. -Report RS&I procedures for interventions. They are saying this code is relevant because they are assessing vascular flow in a graft (its technically a graft of autologous tissue to replace the removed bowel). The fluoroscopic guidance (e.g., CPT codes 76000, 77003) is considered inherent in the performance of the percutaneous implantation of the neurostimulator electrode array in the epidural space, as represented by CPT code 63650. A limited or localized followup computed tomography study (Procedure code 76380) should not be reported separately with a computed tomography guidance procedure. I believe that is where column 2 comes into play b/c a modifier is not always necessary. There are no established codes that describe the use of ICG in other surgical procedure locations. CPT code 64640 will deny as If this is your first visit, be sure to check out the. Place of service: Ambulatory Surgery Center (POS 24) Physician services billing: Type 1 Excludes Crosswalk. 2021 Evaluation and Management Codes: Is a History Required? 77003 TC x 1 (separately billable will depend upon payer policy) (separately billable will depend upon payer policy Type 2 Excludes Crosswalk. Procedure codes for fluoroscopy (e.g., 76000, 76001) should not be reported separately with a fluoroscopic guidance procedure. complete billing guide for CPT code 76000 here. Our orthopedic surgeons use fluoroscopy extensively while in the OR not only to fix fractures, but to check on hardware, check bone cortex and bone density and alignment, all kinds of things. Therefore, Procedure code 77002 is CPT codes for fluoroscopy/fluoroscopic guidance (e.g., 76000, 76001, 77002, 77003) or ultrasound/ultrasound guidance (e.g., 76942, 76998) should not be reported separately. Radiological supervision and interpretation codes include all radiological services necessary to complete the service. 77003 x 1 (guidance billed with no modifier) You can find the complete billing guide for CPT code 77003 here. For example, a CT with contrast arthrography (without anesthesia) study of the hip would be reported with 27093 for the injection, 77002 for the fluoroscopic guidance and 73701 for the CT with contrast arthrogram. Exams that might include the use of fluoroscopy as part of the procedure include: Barium enema Barium swallow Enteroclysis Lumbar puncture Interventional radiology procedures Interventional neuroradiology procedures Myelogram Upper gastrointestinal series Small bowel series During the procedure Code 77003 is used to describe the fluoroscopic guidance and localization of a needle or catheter tip for spine or paraspinous injection procedures. 2 0 obj
Partial incidental appendectomy and the closure portion of a procedure c. Blunt, digital, manual, or mechanical lysis of adhesions d. Partial cholecystectomy - ANSWER ins.className = 'adsbygoogle ezasloaded'; Manage Settings Your email address will not be published. Correspondence Language Policy/Example Number 3.70000 CPT Manual or CMS manual coding instruction. 63685 Insertion or replacement of spinal neurostimulator pulse generator or receiver, direct or inductive coupling. %
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The Procedure Manual instruction following Procedure code Therefore, CPT code 77300 should not be reported separately. They are saying this code is relevant because they are assessing vascular flow in a graft (it's technically a graft of autologous tissue to replace the removed bowel). 535 0 obj
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Fluoroscopy reported as CPT codes 76000 or 76001 shall not be reported with spinal procedures unless there is a specific CPT Manual instruction indicating that it is separately reportable. You must log in or register to reply here. var cid = '2759846625'; CPT Code: 49507 The documentation supports the selection of the code for "recurrent" not "initial." Correct code: 49521 9.The surgeon performs an excision of a 1.5 cm deep intramuscular soft tissue tumor of the scalp. Can you give guidance on CPT 15860 as it pertains to colorectal surgery? 2019 CPT includes new instructions specific to imaging guidance. Here is an excerpt you can also refer to "Remember, fluoroscopy is a diagnostic radiology code. endstream
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What Does Separate Procedure Mean in a CPT Code Description? But to report the imaging piece you need the matching code from radiology. placement that is integral to the epidural, transforaminal and intrathecal injections addressed in The fluoroscopy used for an intra-articular injection for an enhanced CT or enhanced MR arthrography (typically a mixture of saline, marcaine and nonionic contrast media and/or gadolinium) involves additional physician work. The assumption is that services normally performed as part of a single CPT code would not be separately coded. 1 0 obj
Unless specifically noted, fluoroscopy necessary to complete a radiologic procedure Use Additional Crosswalk. HCPCS/CPT codes include all services usually performed as part of the procedure as a . We and our partners use data for Personalised ads and content, ad and content measurement, audience insights and product development. This type of unbundling is incorrect coding. Finally, CPT code 64640, which may be used for destruction by neurolysis for sacroiliac joint pain, is not limited to only the procedures and/or indications addressed in this policy. temporomandibular joint arthrogram. LZ$GB lEQmwsKyfG4' endstream
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<. KarenZupko & Associates, Inc. 2023 | All Rights Reserved, Billing for an Iatrogenic Injury, My Patient. CPT codes 50430 and 50431 should not be reported separately with 50435. KarenZupko & Associates, Inc. | 312.642.5616 | [email protected]. Apr 16, 2021 #1 This is the doctors notes for the procedure and Dx: CPT-4 and ICD-10 codes for Spinal Cord Stimulator pulse generator (battery) replacement, for a diagnosis of Spinal cord stimulator malfunction, battery end of life and failed back surgery syndrome. The intraoperative cholangiography distinguishes between CPT codes 47562 and 47563.14 September 2016 What is the CPT code for cholangiogram? Removal of the entire body part and removal of an entire lobe of the liver b. var slotId = 'div-gpt-ad-codingahead_com-box-3-0'; The CPT code 72275 (Epidurography, radiological supervision and interpretation) differs from CPT code 77003 in that it represents a formal recorded and reported contrast study that includes fluoroscopy. Codes Deleted in 2023. KarenZupko & Associates, Inc. | 312.642.5616 | [email protected], 6 Essential Coding Rules Everyone Needs to Know. x]6oUHWNgz,BeU%Gc`iq9d[*I&U];?o&%74MyL]y|L"ixG?6G[WeUW_{{~@#9Z>)d5F_~/{z^b?~Wfpj$ff8;\&. Therefore, lumpectomy with sentinel node biopsy is billed using codes 19301, 38525-51, and 38900. Correspondence Language Policy/Example Number 14.70000 Misuse of column two code with column one code. Clinical Information CPT 26075 is a, Read More CPT Code 26075 | Description & Clinical InformationContinue, Your email address will not be published. var pid = 'ca-pub-8407705611028189'; From an intraoperative standpoint, CPT states only the "local infiltration, metacarpal/metatarsal/digital block or topical anesthesia" is included. Coding Guidelines Total mastectomy with sentinel node biopsy uses codes 19303, 38525-51, and 38900. Note that when combined CT or MRI and conventional radiographic arthrography studies are performed, it would not be appropriate to report the fluoroscopic guidance code separately. Official Description The CPT book defines CPT code 76936 as: Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging). Provider performed a close reduction right ankle with application of external fixator for a right ankle pilon fracture. container.appendChild(ins); The infusion of ICG dye as imaging to assess perfusion is inherent to the procedure and not separately reported. o 38900 Intraoperative identification (e.g., mapping) of sentinel lymph node(s) includes injection of non-radioactive dye, when performed (List separately in addition to code for primary procedure) May only be reported with certain CPT codes CPT 2019, Professional Edition, American Medical Association Are You Asking the Right Questions About the A/R? fluoroscopy. endstream
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Her energetic and engaging teaching style makes her a sought-after educator, trainer and speaker. jQuery(function() { _initLayerSlider( '#layerslider_73_1v8wjgk48zauu', {createdWith: '6.8.2', sliderVersion: '6.9.2', allowFullscreen: true, pauseOnHover: 'enabled', skin: 'v6', sliderFadeInDuration: 350, useSrcset: true, skinsPath: 'https://karenzupko.com/wp-content/plugins/LayerSlider/assets/static/layerslider/skins/', performanceMode: true}); }); Sessions begin January 2020 and extend through November. 4/11/2011 4 7 Radiology Coding . No claim should be submitted for the You can find the complete billing guide for CPT code 77003 here. To view the purposes they believe they have legitimate interest for, or to object to this data processing use the vendor list link below. Ask Dr. Z Disclaimer. ins.dataset.adClient = pid; <>
CPT Code 43273 is an add-on code and must be reported with at least one of the above ERCP codes. It may not display this or other websites correctly. If you are referring to 76000, this is a "separate procedure" and if carried out as an integral part of another procedure coded cannot be used: You must log in or register to reply here. The CPT Manual instruction following CPT code 70332 states: (Do not report 70332 in conjunction with 77002). Therefore, CPT code 77002 (Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)) is bundled into CPT code 70332. For a better experience, please enable JavaScript in your browser before proceeding. Procedure codes for fluoroscopy/fluoroscopic guidance (e.g., 76000, 76001, 77002, 77003) or ultrasound/ultrasound guidance (e.g., 76942, 76998) should not be reported separately. <>
Diagnostic Radiology (Diagnostic Imaging), Genomic Sequencing and Molecular Multianalyte Assays, Multianalyte Assays With Algorithmic Analyses, Immunization Administration for Vaccines/Toxoids, Hydration, Therapeutic, Prophylactic, Diagnostic Injections and Infusions, and Chemotherapy and Other Highly Complex Drug or Highly Complex Biologic Agent Administration, Physical Medicine and Rehabilitation Evaluations, Education and Training For Patient Self-Management, Special Services, Procedures, and Reports (Miscellaneous Medicine), Case Management (Medical Team Conferences), Non-Face-to-Face Evaluation and Management, Delivery/Birthing Room Attendance and Resuscitation, Inpatient Neonatal and Paediatric Critical Care. hard or digital film(s) maintained to document needle placement. CPT 77002 bundled into Procedure code 76930. Current Procedural Terminology, Cpt 2003 - American Medical Association 2003-03-01 CDT 2021 - American Dental Association 2020-09-08 To find the most current and correct codes, dentists and their dental teams can trust CDT 2021: Current Dental Terminology, developed by the ADA, the official source for CDT codes. imaging is performed in a hospital or non-office facility. 3 0 obj
#1 Our orthopedic surgeons use fluoroscopy extensively while in the OR not only to fix fractures, but to check on hardware, check bone cortex and bone density and alignment, all kinds of things. Designed by Elegant Themes | Powered by WordPress. Chap9-cptcodes70000-79999 Revision Date: 1/1/2022 . Published by on January 24, 2023 on January 24, 2023 CPT Codes For Fluoroscopy CPT 77001, CPT 77002, CPT 77003 & CPT 76000 can be reported for Fluoroscopy. Before billing it check your edits, if it hits an edit the insurance will usually not pay and it's not worth doing an appeal. Before the breast biopsy, tell your doctor if you: If the breast biopsy will be done . Question: CPT 77001, CPT 77002, CPT 77003 & CPT 76000 can be reported for Fluoroscopy. I believe this would be the case if the procedures were completed at the hospital as long as radiology does not review the film. %
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CMS payment policy allows one unit of service for any of these codes at a single patient encounter regardless of the number of needle placements performed. For a better experience, please enable JavaScript in your browser before proceeding. Routine follow-up care. var container = document.getElementById(slotId); Official Description The CPT book defines CPT code 26075 as: Arthrotomy, with exploration, drainage, or removal of loose or foreign body; metacarpophalangeal joint, each. The CPT code for this procedure is 47564. 77003 -26 x 1 <>
However, there are other qualifiers of "with Fluoroscopy," "with Computerized Tomography," and "with Magnetic Resonance Imaging" to select from . Since CPT code 77001 describes fluoroscopic guidance for central venous access device procedures, CPT codes for more general fluoroscopy (e.g., 76000, 77002) shall not be reported separately. [%GYc# !w! l@RPf 2D@ fg!Ap}lx&>g$&vf Save my name, email, and website in this browser for the next time I comment. ICD-10-CM. CPT codes for fluoroscopy (e.g., 76000, 76001) should not be reported separately with a fluoroscopic guidance procedure. registered for member area and forum access. Our purpose was to determine whether the use of a laser-aiming device improves the accuracy of intraoperative fluoroscopy to reduce, by implication, radiation exposure in the operating room. with image-guidance based on fluoroscopic images (List separately in addition to code for primary procedure) 0055T . Physicians may only bill for the professional component when Nov. 2010's CPT Assistant article states that fluoroscopy is inclusive to ESI codes and that it should not be reported: "For certain procedures, fluoroscopy is considered inclusive of the procedure (e.g., 22526, 22527, 62263, 64467, 62270-62282, 62310-62319) and not separately reportable." The coding advice may or may not be outdated. CPT code 50435 (Exchange nephrostomy catheter and/or fluoroscopy) and all associated radiologic supervision and interpretation) describes exchange of a percutaneous nephrostomy catheter, including a diagnostic nephrostogram. CPT codes and RVU table from 2018 National Physician Fee Schedule . Epidurography should only be reported when it is reasonable and medically C9776 is a valid 2022 HCPCS code for Intraoperative near-infrared fluorescence imaging of major extra-hepatic bile duct (s) (e.g., cystic duct, common bile duct and common hepatic duct) with Contrast is then injected into the bile duct under fluoroscopy. Changes. CPT CODES 20000-29999 FOR NATIONAL CORRECT CODING INITIATIVE POLICY MANUAL FOR MEDICARE SERVICES 5. CPT code Description Total RVU (Work) Total RVU . ins.style.display = 'block'; You must log in or register to reply here. Obviously soft tissue doesn't show up, but for anything involving bone, they use it. As mentioned previously, the fluoroscopic guidance for needle placement is included in the arthrography RS&I code (70332, 73040, 73085, 73115, 73542, 73525, 73580, 73615). Ex: 76641 Category II Codes Provides supplementary tracking codes that are designed for use in performance assessment and quality improvement activities. 2021 code changes include Intraoperative enteroscopy This is a technique in which an endoscope is inserted orally or via an enterotomy and is guided through the small bowel with surgical assistance. When computer assisted navigation is used during a spinal surgery/fusion, ICD-10-PCS code 8E0WXBZ (computer assisted procedure of trunk region) is most commonly reported for spinal surgery. These services should be reported with CPT code 64999. The unit of service for these codes is the patient encounter, not number of lesions, number of aspirations, number of biopsies, number of injections, or number of localizations. The table You are using an out of date browser. Code 77002 is used to describe fluoroscopic guidance for all types of needle placement, i.e., biopsy, aspiration, injection, or localization device. CPT Code For Laparoscopic Cholecystectomy With IOC Select Biliary & Cholangioscopy Procedures 2023 Coding & Payment Quick Guide See important notes on the uses and limitations of this information on page 4. CPT 92265 describes a procedure involving the testing and interpretation of the extraocular muscles of the eye. var lo = new MutationObserver(window.ezaslEvent); The Procedure code 72275 (Epidurography, radiological supervision and interpretation) differs from endstream
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the policy. complete billing guide for CPT code 77003 here. According to the American Academy of Orthopedic Surgeons (AAOS), fluoroscopy used in surgical procedures is not considered diagnostic, and therefore should not be billed as a separate diagnostic procedure.". Your email address will not be published. var ffid = 1; Analysis and Programming. ICD-10-PCS. All rights reserved. An imaging guidance code is billed only once per session for CPT code 77003, fluoroscopy or CPT code 77012 for CT guidance. Your email address will not be published. TIP: You can find the complete billing guide for CPT code 76000 here. (CPT code 76001 was deleted January 1, 2019.) The root operation of resection applies to which of the following? My surgeons have been using this code when they use the isocyanine green fluorescence imaging either with the robot (Firefly) or open (SpyPhi). container.style.maxWidth = container.style.minWidth + 'px'; Required fields are marked *. This physician work is separate from the work included in the monitoring and interpretation of the contrast enhanced images included in the CT or MR with contrast procedures. CPT codes 76942, 77002, 77003, 77012, and 77021 describe radiologic guidance for needle placement by different modalities. Description of CPT 76000: Fluoroscopy (separate procedure), up to one hour physician time. the fluro hits an edit with the external fixator. Caudal epidural injection performed under fluoroscopic guidance fluoroscopic guidance lo.observe(document.getElementById(slotId + '-asloaded'), { attributes: true });CPT 77003 needs to be listed seperately in addition to code for primary procedure and is used only for spinal procedures. I have a physician stating we should be coding for the intraoperative x-ray and fluoro. 51605 injection procedure and placement of chain for contrast and/or chain urethrocystography. Official Description The CPT book defines CPT code 21044 as: Excision of malignant tumor of mandible.
In the ASC setting we are billing the TC component for the physically and the surgeon is billing for the PC on his professional bill. 4 0 obj
Clinical Information CPT 76936 is a procedure that utilizes duplex scanning, Read More CPT Code 76936 | Description & Clinical InformationContinue, CPT 65435 describes the removal of the corneal epithelium using abrasion or curettage, with or without chemocauterization, for the purpose of removing an injured or otherwise damaged epithelial layer from the cornea. Therefore, it would not be appropriate to additionally report the fluoroscopic guidance used. You are using an out of date browser. Cpt Code Guidelines Fluoroscopy - Lake Medical Imaging. Radiological supervision and interpretation codes include all radiological services necessary to complete the service. Note: CPT 77001 needs to be listed seperately in addition to code for primary procedure. ASC facility billing: ASC facility billing: 62310 x 1 Results: More accurate axial correction with reduced surgical time (32min less), intraoperative fluoroscopic images (59 images less) and costs (estimated 412 less) were achieved with the use of . 3)s/[dv@@k.X- !m|t'wO Intraoperative Cholangiogram is the special X-ray with contrast material performed during the surgical procedure. Kim is a nationally recognized coding expert. Ask Dr. Z. You can easily access coupons about "Intraoperative Use Of Fluoroscopy Cpt Code" by clicking on the most relevant deal below.