Coding Resources
INTERVENTIONAL PAIN
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Separate Procedure Definition
April 11, 2019 Question: What does “separate procedure” mean when it follows a CPT code description? Answer: Per CPT :…
Transforaminal Epidural Injection
March 28, 2019 Question: If I perform a transforaminal epidural injection of L4-L5 on both sides can I report CPT…
Botox Injection in the Hand
March 14, 2019 Question: I am trying to find a CPT code for a Botox injection in the right hand,…
Spinal Accessory Nerve Injection
February 28, 2019 Question: What CPT code do I use to report a spinal accessory nerve injection? Answer: CPT code…
Arthrocentesis with Fluoroscopy
February 14, 2019 Question: When I perform a hip injection using CPT 20610 and I use fluoroscopic guidance can I…
Ultrasound Guidance with a Carpal Tunnel Injection
January 31, 2019 Question: When performing a carpal tunnel injection (20526) using ultrasound, what do I need to document to…
Spinal Neurostimulators
January 17, 2019 Question: My physician inserted a permanent spinal neurostimulator and we used CPT 64655. He also billed CPT…
E/M on Same Day as an Injection
December 13, 2018 Question: My pain management physician saw a patient in the office and the chief complaint states that…
Diagnosis Code for Osteonecrosis
November 29, 2018 Question: I have a patient who for the past 6 months, has noticed an increase pain in…
Diagnosis Code for Infusion Pump Adjustment
November 15, 2018 Question: A patient had an adjustment to his infusion pump and I am not sure what diagnosis…
New Patient or Established
November 1, 2018 Question: If I see a new patient in consultation for a joint pain, treat and release them…
Femoral Nerve Block
October 18, 2018 Question: My physician has just started performing adductor canal continuous infusion pain blocks? How do I code…
Ultrasound Documentation
October 4, 2018 Question: What needs to be documented when I perform a procedure using ultrasound guidance? The insurance company…
Multiple Procedure Payment Formula
September 20, 2018 Question: What is Medicare’s multiple procedure payment formula? When I do more than one procedure, I know…
Code Submission Order on Claims
September 6, 2018 Question: When we are submitting multiple procedures on a claim, should we submit the CPT codes in…
NPP Reporting and Claim Form Line 24J
August 23, 2018 Question: How do we know whether to put the NPP (PA or NP) or physician NPI number…
Documenting the Initial Pain Assessment
August 9, 2018 Question: What needs to be documented for the initial assessment for a pain management patient to support…
Facet Joint Injections without Guidance
July 26, 2018 Question: If I perform a facet joint injection of the Medical Branch (64490-64495) and don’t use guidance,…
Pain Management Resources
July 12, 2018 Question: What are some good organizations to reference for pain management guidance? Answer: Good reference information can…
Thoracic Nerve Blocks
June 28, 2018 Question: If I perform three separate injections at three intercostal levels can I report 64420 and 64421…
Piriformis Syndrome
June 14, 2018 Question: What code do I use when my physician injects the piriformis muscle for piriformis syndrome under…
Coding for Multiple Joint Injections
May 31, 2018 Question: What CPT codes do I use to perform a right SI joint injection and then inject…
Steroid Injection
May 17, 2018 Question: How do I code a left hip intraarticular steroid injection under fluoroscopic guidance? Answer: You would…
Nerve Block Injection and Global Period
May 3, 2018 Question: We had a patient who came in for a nerve block 3 days ago and came…
Incident-to Billing
April 19, 2018 Question: We have added a PA to the practice and want to make sure we are using…
Coding for Paravertebral Blocks
March 29, 2018 Question: What are the codes 64461-64463 used for? Answer: These codes are used to treat acute and…
Spinal Hardware Block
March 15, 2018 Question: How is a spinal hardware block coded? Answer: There is not a specific CPT code for…
Knee Pain Injection
March 1, 2018 Question: My physician injects the superior medial and lateral branches of the genicular nerve for knee pain…
Bilateral L4-L5 Transforaminal Epidural Injection
February 15, 2018 Question: How is a bilateral L4-L5 transforaminal epidural injected coded? Answer: You would report 64483-50 (Injection(s), anesthetic…
Nerve blocks S1 and S2.
February 1, 2018 Question: How do I report nerve block injections at S1 or S2? Are these considered facet injections?…
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…
Webinars
Audits and the Modifier 25 for Pain Physicians
About The Zipinar Will Answer What is the 25 modifier and what is all the fuss about? What do CPT…
Therapy Functional Limitation Reporting
Join Sarah Wiskerchen in this 38 minute webinar as she steps through Medicare’s Mandatory Functional Limitation Reporting. If your physician practice…
Coding and Coverage of Bariatric Procedures
Coding and Coverage of Bariatric Procedures Teri Romano, BSN, MBA, CPC, CMDPConsultant and Speaker Getting paid for open and laparoscopic…
Navigating Coverage Policies in Varicose Vein Treatment
Navigating Coverage Policies in Varicose Vein Treatment Teri Romano, BSN, MBA, CPC, CMDPConsultant and Speaker The treatment of varicose veins,…
Hand Coding II
Build on your knowledge of hand coding. This course addresses the granular nature of coding and documenting hand fractures and…
Hand Coding I
Staff and managers new to hand coding who want to code correctly for common hand procedures will find good value…
Documenting and Coding for Mohs Micrographic Surgery in 7 Steps
Join Deb Grider in this 24 minute Zipinar as she reviews these important aspects of correctly coding Mohs surgery. Do…
Arthroscopy Coding Bundle - Hip, Knee and Shoulder
$179 Hip, Knee, and Shoulder included! (Best Value) Buy Now Hip Arthroscopy The hip is one of the newer joints…
2018 Update in Otolaryngology Coding and Reimbursement
More Info What’s Discussed There are many important CPT code changes for otolaryngology in 2018! We will discuss the following:…
2018 Coding Update for Vascular Surgery
2018 Coding Update for Vascular Surgery Teri Romano, BSN, MBA, CPC, CMDPConsultant and Speaker Once again, vascular surgery has undergone…
How to Prepare for a Payment Audit: Tactical Strategies for Defense
Whether you’ve already received an audit notice or you’d like to prepare for the inevitable, this fast and tactical webinar…
Telehealth: Are You Ready for the New Frontier of Medicine?
Considering offering telehealth services to patients? Already offering telehealth but wondering if you’re in compliance with current laws, as well…
MIPS Made Easier for Surgeons
More Info You Will Learn MIPS enters its second year and the penalty for not participating rises to 5%. KZA…
2017 Coding Update for Spine Surgery
More Info Who Should Watch? Orthopaedic surgeons Neurosurgeons Practice managers Billing managers Coders Billing staff What’s Discussed: What’s new for…