CPT code 77002 refers to using X-ray technology to help guide a needle into a specific area of the body. CPT 77002 represents “Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure).”
Procedure Explanation:
In this procedure, a special kind of X-ray, called fluoroscopy, is used to view the inside of the body in real-time. This helps the doctor insert a needle accurately to perform tasks like taking a tissue sample, draining fluid, delivering medicine, or placing a device in a precise location. This procedure on its own is limited to guiding the needle and does not include the primary task the needle performs, such as the biopsy or injection itself.
Common Names:
- Fluoroscopic Needle Guidance
- X-ray Guided Needle Placement
- Fluoroscopy for Needle Insertion
Relative Value Units (RVU):
The RVUs associated with this code are 0.54.
How This Procedure Appears:
- Operating Room Schedule Name: Fluoroscopy for Needle Guidance
- Surgical Consent Form Name: Needle Placement Under Fluoroscopic Guidance
Typical Patients and Diagnoses:
This procedure is often used for patients who need precise needle placement for various reasons. For instance, someone who needs a suspicious lump checked by removing a small tissue sample, or a person with joint pain needing a medication injection to relieve discomfort, might undergo this process. It is also used when a precise location for needle insertion is required for safety or effectiveness, like when introducing a localization device.
Associated ICD-10 Codes:
- C78.7: This code is for secondary malignant neoplasm of the liver and intrahepatic bile duct, often requiring tissue sampling for diagnosis.
- M25.561: This code refers to pain in the right knee, where targeted injections might be needed for treatment.
- N40.0: This code is for benign prostatic hyperplasia, which may require precise needle guidance for procedures such as prostate biopsies.
Summary
In summary, code 77002 describes using fluoroscopy to guide a needle accurately into the body for various procedures. Typical ICD-10 codes associated with 77002 include C78.7 (secondary cancer in the liver) and M25.561 (knee pain).
Disclaimer
This post is for informational purposes only and is not a substitute for medical advice. “CPT” and CPT Codes are registered trademarks of the American Medical Association. HCPCS codes are managed by Medicare and are not subject to copyright.