Only when the primary procedure does not already include fluoroscopic guidance. Check payer-specific bundling rules.

CPT Code 77003: Fluoroscopy Guidance for Needle Placement
Learn how CPT code 77003 supports fluoroscopic needle guidance. Get billing, documentation, and procedural insights for pain care.
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Frequently asked questions
Yes. Images must be captured and retained in the medical record as part of proper medical billing and audit compliance.
CPT code 77003 is specific to spinal injection procedures requiring fluoroscopy. It does not apply to CT-guided or ultrasound-guided procedures or imaging outside the paraspinous diagnostic area.
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