May 23, 2019 Question: I know that CPT code 64910 is the code I report for a nerve repair of the spine. My question is when performing this procedure on three levels how to I report this. Answer: You would report CPT code 64910 for each level. Since the second and third levels are bundled...
May 9, 2019 Question: I am new to pain management and am trying to find the correct CPT code for a lumbar sympathetic plexus block. Can you help? Answer: The correct CPT code is 64520 (Injection, anesthetic agent; lumbar or thoracic (paravertebral sympathetic). *This response is based on the best information available as of 5/9/19.
April 25, 2019 Question: In our office we have LPN’s working in our office who are giving trigger point injections under a physician order. I don’t think this is correct. Can an MA, LPN or RN give a trigger point injection? Answer: A trigger point injection is a procedure that can be administered by a...
April 11, 2019 Question: What does “separate procedure” mean when it follows a CPT code description? Answer: Per CPT : Some of the procedures or services listed in the CPT codebook that are commonly carried out as an integral component of a total service or procedure have been identified by the inclusion of the term...
March 28, 2019 Question: If I perform a transforaminal epidural injection of L4-L5 on both sides can I report CPT 64483 twice? Also, when I use fluoroscopic guidance can I report that separately? Answer: If you perform a bilateral transforaminal epidural injection (64483) you can report CPT 64483 with Modifier 50 (bilateral procedure). Some payors...
March 14, 2019 Question: I am trying to find a CPT code for a Botox injection in the right hand, and found CPT code 64653. Is this the code I should report? Answer: There is not a specific CPT code for a Botox injection (chemodenervation) of the hands. You should report the unlisted code CPT...
February 28, 2019 Question: What CPT code do I use to report a spinal accessory nerve injection? Answer: CPT code 64999 (unlisted) is reported for the injection of a spinal accessory nerve. The CPT code previously used was CPT 64412 which was deleted in 2016. *This response is based on the best information available as...
February 14, 2019 Question: When I perform a hip injection using CPT 20610 and I use fluoroscopic guidance can I report the injection and the fluoroscopy? Answer: You may report the injection 20610 and the fluoroscopic guidance using CPT 77002 (Fluoroscopic guidance for needle placement). *This response is based on the best information available as...
January 31, 2019 Question: When performing a carpal tunnel injection (20526) using ultrasound, what do I need to document to support reporting 76942? Answer: In order to report ultrasonic guidance using CPT code 76942 a permanent image of the ultrasound must be maintained. It is recommended that you document the imaging guidance in a separate...
January 17, 2019 Question: My physician inserted a permanent spinal neurostimulator and we used CPT 64655. He also billed CPT 95970 for the electronic analysis at the same operative session. Is this the correct way to bill for the permanent placement and the analysis? Answer: The electronic analysis at the time of implantation is not...
