CPT code 27096 includes “Image guidance,” what’s the necessary required documentation? Does the physician still need permanently recorded images? Because the fluoroscopy/CT is bundled into the procedure and therefore the fluoroscopy/CT will not be separately reported, would the image guidance in the Radiology section regarding guidance procedures still apply?

The medical record should indicate that the procedure was performed under fluoroscopy or CT guidance (as appropriate). A separate report is not needed. Documentation requirements per Billing & Coding article require films that adequately document (minimum of two views) final needle position and contrast flow should be retained and made available upon request.