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INTERVENTIONAL PAIN
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Need Help with a Diagnosis Code
December 17, 2020 Question: We had a patient who came in for management of chronic right hip pain. I am…
Modifier 78 or Modifier 79 Which Do I Use?
December 3, 2020 Question: My physician placed a permanent neurostimulator via laminectomy 6 days after the trial neurostimulator. I know…
2021 Evaluation and Management Codes: Is a History Required?
November 12, 2020 Question: My coder just told me about the new guidelines for 2021 office visit codes. She said…
New Evaluation and Management Guidelines for 2021 for Office Visits
October 29, 2020 Question: I work with a pain management physician and we see just a few Medicare patients. The…
Documenting Family History for New Patient Visits
October 15, 2020 Question: I’ve heard that all you need to document for family history is the word “none”, and…
Genicular Nerve Destruction
October 1, 2020 Question: My doctor did a destruction of the superolateral and superomedial genicular nerve. Is there a CPT…
Evaluation and Management Codes 2021 – Do I Have to Use the Revised Guidelines?
September 17, 2020 A previous version of this coding coach was incorrect; to view a correct version of that question,…
Transforaminal Injection
September 3, 2020 Question: I am new to pain management coding and have a question. What is the correct way…
SI Joint Injection Help
August 20, 2020 Question: My physician performed an SI joint injection in the ASC under ultrasound guidance and wants to…
Sphenopalatine Ganglion Block
August 6, 2020 Question: I cannot find a CPT code to report using a device to deliver medication through the…
Acupuncture Coverage
July 23, 2020 Question: My practice has decided to do acupuncture in our office. Does Medicare pay for acupuncture in…
Botox and Image Guidance
July 9, 2020 Question: Code 64615 says bilateral for the injection of Botox for chronic migraine. Does that mean we…
Blood Patch with Epidural
June 25, 2020 Question: My anesthesiologist had to perform a blood patch on a patient who received an epidural the…
Established Patient New Problem
June 11, 2020 Question: I saw an established patient for her last lumbar epidural in the series and she now…
Genicular Nerve RFA
May 29, 2020 Question: I’m new to coding. What code would I use for radiofrequency ablation of the genicular nerve?…
Phone Call Documentation
May 14, 2020 Question: What documentation is needed to bill for a phone only visit besides time? Answer: There aren’t…
Billing Multiple Phone Calls
April 30, 2020 Question: Can we bill telephone only (99441-99443) calls subsequently during the week (or the same day) for…
G2012 Telephone or Portal
April 16, 2020 Question: Is G2012 for telephone calls or just for the patient portal? Answer: Keep in mind that…
Billing Telehealth by Time
April 2, 2020 Question: Can we bill telehealth visits by time alone? Answer: Yes, if indicated by the code billed.…
Billing for Fluoroscopy for Nerve Block
March 19, 2020 Question: Can I bill fluoroscopy with 64505 for nerve block of the sphenopalatine ganglion, as imaging guidance…
PA Performing Joint Injections
March 5, 2020 Question: Can our PA perform joint injections for Medicare patients Incident-to the physician? Answer: This depends on…
Overreading a Diagnostic Imaging Study
February 20, 2020 Question: I sent a patient out to the hospital for a CT scan and the patient brought…
Fluoroscopic Guidance and Trigger Point Injections
February 6, 2020 Question: I would like to know if generally speaking if Medicare pays for trigger point injection CPT…
Coding Joint Injections and a Trigger Point Injection Together
January 23, 2020 Question: We had a denial for a knee injection and a trigger point injection in the neck.…
Modifier -52 or -53
January 9, 2020 Question: Physician was performing a spine injection and the patient chose to only have local anesthesia. During…
Trigger Point Injections Coding: Muscle or Muscle Group
December 19, 2019 Question: One of our Providers recently completed Trigger Point injections to Bilateral Thoracic Paraspinals and Bilateral Trapezius…
Coding Bilateral Percutaneously Placed Spinal Cord Stimulator Electrodes
December 5, 2019 Question: If bilateral spinal electrode are placed percutaneously, 63650, can both be reported? Answer: Yes, if two…
SI Joint Injection
November 14, 2019 Question: My MD performed an SI joint injection with ultrasound guidance in the office. What is the…
Consultation Request
October 31, 2019 Question: Would you mind giving your opinion? I saw a patient from urgent care yesterday with…
APP Billing
October 17, 2019 Question: Our physicians have instructed us to bill under a physician’s NPI number for all Advanced Practitioners…
Articles
Coding Trigger Point Injections for Pain Management
Articles Coding Trigger Point Injections for Pain Management Deborah Grider ICD10 Monitor – April 2018 Review your payer policies when…
Got a Good Governance Agreement? Use This 12-Point Checklist to Find Out
Healio Orthopedics Today – August 2017 by Karen Zupko A governance agreement is a written directive for how a practice’s…
