Resolved CPT code 27814 with 76000

[DelailaG_65182]

Is anyone can help me with this it would be so appreciated! Is CPT code 27814 can be billed with 76000?

 

[Lori]

76000 is bundled with many orthopaedic procedures, if 76000 is in column 2 do not bill unless on a different body part, so check NCCI edits (found on CMS website) and if not in column 2, it does get reported with modifier 26 if performed in a hospital.

Fluoroscopy is inherent in many radiological supervision and interpretation procedures. Unless specifically noted, fluoroscopy necessary to complete a radiologic procedure and obtain the necessary permanent radiographic record is included in the radiologic procedure and shall not be reported separately.

https://www.cms.gov/files/document/chapter9cptcodes70000-79999final112021.pdf

CPT “Separate procedure” definition: The narrative for many HCPCS/CPT codes includes a parenthetical statement that the procedure represents a "separate procedure". The inclusion of this statement indicates that the procedure can be performed separately but should not be reported when a related service is performed. A “separate procedure” should not be reported when performed along with another procedure in an anatomically related region through the same skin incision or orifice, or surgical approach. HCPCS/CPT code____ (the column two HCPCS/CPT code) is designated as a "separate procedure". Therefore, if it is reported with HCPCS/CPT code______ (the column one HCPCS/CPT code), HCPCS/CPT code (the column two HCPCS/CPT code

https://www.cms.gov/Medicare/Coding/NationalCorrectCodInitEd/Downloads/2017-NCCI-Correspondence-Manual.pdf

National Correct Coding Initiative Edits | CMS

For Medicare providers: Access the National Correct Coding Initiative Policy Manual and learn about edits and changes to Medicare codes.

www.cms.gov

 

[DelailaG_65182]

Thank you Lori!