July 25, 2019 Question: I’ve been dictating CPT and ICD-10-CM codes in my procedure note so that my coder knows what to bill. Recently, we had an insurance company call us out because the codes we billed were not the same as the codes in the procedure note. Now I am not sure what to do. What is...
July 11, 2019 Question: Our physicians have instructed us to bill under a physician’s NPI number for all Advanced Practitioners (PAs and NPs) for all patients for Medicare as we follow incident-to billing. We have been submitting claims for all new and established patient visits regardless of whether there is a physician in the office. ...
June 20, 2019 Question: Can you provide the CPT code for this procedure? Also can I report an E/M service for this patient encounter? Patient is a pleasant 60 year-old gentleman who presents in our office for a follow-up visit for left knee pain. He continues to have some left sided knee pain. We drained...
June 6, 2019 Question: A patient comes to our office for a sacroiliac joint injection and is also requesting a cervical trigger point injections as he woke with a stiff neck. The physician evaluated the patient and performed a right SI joint injection and also injected 4 spots along the left trapezius. Fluoroscopy is used...
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...
