I have had several claims billed with the 77003 deny with Medicare and BCBS. According to the CPT Code book this code shouldnt be reported with 64479-64484, and 64490-64495 as it would be included in the procedure. Has anyone ran into any problems? Is there a modifier that we should be appending to the claims? If it is included I wouldnt need a modifier. Medicare and BCBS have said its included in procedure, however when we pulled the NCCI it says to append the modifier. I am a little confused.