Hi

Can anybody explain me about the code 27096, whether fluoroscopic guidance(77003) is included in this code or we have to code it in addition to 27096, if fluoroscopic guidance is used.

Kindly clarify this.

1. A patient presents for a steroid injection into the bilateral SI joint under fluoroscopic guidance. How should you report this?
A.27096, 77003-26

B.27096-50

C.27096-50, 77003-26

D.27096

2. This is a 32 year old female who presents today with sacroilitis. On the physical exam there was pain on palpation of the left sacroiliac joint and imaging confirmation was done for the needle positioning. Then 80 mg of Depo-Medrol and 1 mL of bupivacaine at 0.5% was injected into the left sacroiliac joint with a 22 gauge needle. The patient was able to walk from the exam room without difficulty. Follow up will be as needed. The correct CPT code is:
A. 20610, 77003-26
B. 20551
C. 27096-LT, 77003-26
D. 20555

3.Patient is having ongoing back and hip pain. The physician elects to perform a sacroiliac injection at an ambulatory surgery center. After sterile prep, the patient is placed prone and under fluoroscopic guidance; the needle is placed into the SI joint with a mixture of 20 mg of Celestone and Marcaine for pain relief. Code the procedure(s).
A. 27096, 77003-26 B. 20610
C. 27096, 73542-26 D. 27096

Thanks in advance
Mahalakshmi