Category: Physiatry

Somatic Nerve Injections
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Somatic Nerve Injections

August 3, 2023 Question: When reporting an injection of a steroid of the brachial plexus can I report imaging such as ultrasound guidance? Answer: CPT code 64415 is reported for a injection of an anesthetic agent and/or steroid of the brachial plexus. Per CPT imaging guidance is included in the code and cannot be reported...

Coding for Trigeminal Neuralgia
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Coding for Trigeminal Neuralgia

July 6, 2023 Question: How is RFA rhizotomy of the trigeminal nerve at the second and third division branches of the foramen ovale? The diagnosis was Trigeminal Neuralgia Answer: This procedure is coded as 64605, Destruction by neurolytic agent, trigeminal nerve second and third division branches at foramen ovale. Code +77002 may also be reported...

SI Joint Injection
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SI Joint Injection

June 8, 2023 Question: What CPT code do we use when our physician performs an SI joint injection using ultrasound guidance? CPT code 27096 states with fluoroscopy or CT guidance. Answer: CPT instructs to report CPT code 20552 for unilateral or bilateral SI joint injections if CT or Fluoroscopic imaging is not used. CPT code...

Consultation Coding in 2023
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Consultation Coding in 2023

March 16, 2023 Question: In 2023 will the level of service be determined by history, exam and medical decision making or will this change. I have heard it is changing. Answer: Beginning January 1, 2023 consultation codes 99242-99255) for both inpatient and outpatient services will be based on medical decision making or time. However, keep...

Implant vs Foreign Body
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Implant vs Foreign Body

February 16, 2023 Question: What is the difference between an implant and a foreign body? Answer: On page 74 of the Current Procedural Terminology (CPT) Professional Edition 2023, the definition was added to the guidelines. “An object intentionally placed by a physician or other qualified heal care professional for any purpose (eg, diagnostic or therapeutic)...

New vs Established Patient
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New vs Established Patient

December 15, 2022 Question: I am a contracted physician with a group practice (Practice A) in our town. I have an opportunity to contract with another practice (Practice B) not in the same town, but near enough that my patients could see me in either location. My question has to do with the definition of...

E/M Visit During the Global Period
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E/M Visit During the Global Period

November 17, 2022 Question: Can I bill an office visit in the global period if the diagnosis is different from why I did the original procedure? Answer: Yes, as long as the diagnosis is not for a related issue (e.g., complication from the original procedure). The documentation must be clear that the condition is unrelated...

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