1.0 CPT CODES
Fluoroscopic Guidance: 77001
- 77003
Computed
Tomography Guidance: 77011 - 77014
Magnetic Resonance Guidance:
77021 and 77022
Radiologic Other: 77031 and
77032
2.0 Description
2.1 Use of
a fluoroscopy to examine deep structures by means of x-ray; it consists
of a fluorescent screen covered with crystals of calcium tungstate
on which are projected the shadows of x-rays passing through the
body placed between the screen and the source of radiation.
2.2 Fluoroscopic guidance (Current
Procedural Terminology (CPT) code 77001) for central venous placement, replacement
or removal may be considered for cost-sharing. Fluoroscopic guidance
(CPT code 77002) for needle placement (e.g., biopsy, aspiration,
injection, localization device) may be considered for cost-sharing.
Fluoroscopic guidance (CPT code 77003) and localization of needle
or catheter tip for spine or paraspinous diagnostic or therapeutic
injection procedures may be considered for cost-sharing.
2.3 Computed tomography guidance
(CPT code 77011) for stereotactic localization, for guidance of
needle placement (CPT code 77012); for guidance and monitoring of
parenchymal tissue ablation (CPT code 77013); for guidance for placement
of radiation therapy field (CPT code 77014) may be considered for
cost-sharing.
2.4 Magnetic resonance guidance
for needle placement (CPT code 77021); for guidance and monitoring
of parenchymal tissue ablation (CPT code 77022) may be considered
for cost-sharing.
2.5 Stereotactic
localization guidance for breast biopsy or needle placement (CPT
code 77031) may be considered for cost-sharing.
2.6 Mammographic guidance for needle
placement for wire localization or for injection, breast may be considered
for cost-sharing (CPT code 77032).