cpt 76000, cpt code 76000, 76000 cpt code

CPT Code 76000 | Description, Procedure & Billing Guidelines (2022)

You can bill CPT 76000 for real-time imaging of internal structures for examination of up to one hour if performed as a separate procedure.

1. What Is CPT Code 76000?

CPT 76000 covers fluoroscopy, as a separate procedure, for real-time imaging of internal structures. This code can be used for examinations for up to one hour.

2. Description

The CPT book describes CPT code 76000 as: “Fluoroscopy (separate procedure), up to 1-hour physician or other qualified health care professional time.”

3. Procedure

The 76000 CPT code usually starts with the provider positioning the patient in the correct body position before they can begin with the fluoroscopy procedure.

Fluoroscopy is an X-ray technique that views the patient’s internal body structures during another procedure. The body structures are shown on a fluorescent screen monitor as an X-ray image.

The provider uses the X-ray machine by passing a continuous beam through the patient’s body, giving a real-time image on the monitor and helping the surgeon examine the internal body structures during surgery.

TIP: You can find all the CPT codes for fluoroscopy guidance here.

4. Billing Guidelines

CPT code 76000 can not be used when the procedure is performed in conjunction with related procedures (for example, through the same incision, anatomic area, orifice, etc.).

Report this procedure only if it is performed separately. Append modifier 59 with CPT 76000 if performed with an unrelated procedure.

The claim will be denied if you fail to provide sufficient documentation to prove that the 76000 CPT code procedure was not part of another related procedure.

Be aware that imaging supervision and interpretation are often included in a procedure, and CPT 76000 can not be reported separately.

You can not report CPT code 76000 in conjunction with the following CPT codes;

  • CPT 0520T;
  • CPT 0519T;
  • CPT 0518T;
  • CPT 0517T;
  • CPT 0516T;
  • CPT 0515T;
  • CPT 33964;
  • CPT 33963;
  • CPT 33962;
  • CPT 33959;
  • CPT 33958
  • CPT 33957;
  • CPT 33275; and
  • CPT 33274

5. Resources

CPT Professional 2022

https://www.aapc.com/blog/29062-separate-procedure-coding/

https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=59099&ver=3&

https://bmcmededuc.biomedcentral.com/articles/10.1186/1472-6920-13-143

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