Scribd Logo
Upload

Welcome to Scribd!

  • 123 views

    Summary: CPT Coding For Pain Management Is Really A Hectic Task and Outsourcing

    Uploaded by

    Ajay Iyer
    CPT coding for pain management is complex, requiring extensive medical knowledge. Outsourcing coding to a specialized company allows practitioners to focus on patient care while ensuring accurate billing. Commonly used pain management codes include injections of major joints, tendons, and nerves as well as epidural steroid injections, facet joint procedures, vertebroplasty, and kyphoplasty. Changes to CPT codes in 2013 included revisions, additions, and deletions related to chemodenervation, nerve conduction studies, and intraoperative neurophysiology monitoring codes. Outsourcing to a reliable firm provides benefits like regular insurance follow-up, improved cash flow, and compliance with coding standards.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Summary: CPT Coding For Pain Management Is Really A Hectic Task and Outsourcing

    Uploaded by

    Ajay Iyer
    123 views4 pages
    CPT coding for pain management is complex, requiring extensive medical knowledge. Outsourcing coding to a specialized company allows practitioners to focus on patient care while ensuring accurate billing. Commonly used pain management codes include injections of major joints, tendons, and nerves as well as epidural steroid injections, facet joint procedures, vertebroplasty, and kyphoplasty. Changes to CPT codes in 2013 included revisions, additions, and deletions related to chemodenervation, nerve conduction studies, and intraoperative neurophysiology monitoring codes. Outsourcing to a reliable firm provides benefits like regular insurance follow-up, improved cash flow, and compliance with coding standards.

    Original Title

    cptcodingforpainmanagement1-130830045036-phpapp02.pdf

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    CPT coding for pain management is complex, requiring extensive medical knowledge. Outsourcing coding to a specialized company allows practitioners to focus on patient care while ensuring accurate billing. Commonly used pain management codes include injections of major joints, tendons, and nerves as well as epidural steroid injections, facet joint procedures, vertebroplasty, and kyphoplasty. Changes to CPT codes in 2013 included revisions, additions, and deletions related to chemodenervation, nerve conduction studies, and intraoperative neurophysiology monitoring codes. Outsourcing to a reliable firm provides benefits like regular insurance follow-up, improved cash flow, and compliance with coding standards.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    123 views4 pages

    Summary: CPT Coding For Pain Management Is Really A Hectic Task and Outsourcing

    Uploaded by

    Ajay Iyer
    CPT coding for pain management is complex, requiring extensive medical knowledge. Outsourcing coding to a specialized company allows practitioners to focus on patient care while ensuring accurate billing. Commonly used pain management codes include injections of major joints, tendons, and nerves as well as epidural steroid injections, facet joint procedures, vertebroplasty, and kyphoplasty. Changes to CPT codes in 2013 included revisions, additions, and deletions related to chemodenervation, nerve conduction studies, and intraoperative neurophysiology monitoring codes. Outsourcing to a reliable firm provides benefits like regular insurance follow-up, improved cash flow, and compliance with coding standards.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 4

    Summary: CPT coding for pain management is really a hectic task and outsourcing

    it to a reliable medical coding company helps you earn more while focusing on your
    core processes.
    CPT Coding for Pain Management
    Pain management professionals are busy healthcare practitioners as their area of
    practice is vast and the patients belong to diverse age groups. The types and levels
    of pain is yet another factor, varying from neoplasm-related pain, spinal pain, acute,
    chronic to post-surgical pain. This article discusses some important CPT codes that
    will be useful for diverse pain management professionals including medical
    practitioners,
    clinical
    psychologists,
    physiotherapists,
    nurse
    practitioners,
    occupational therapists, and clinical nurse specialists.
    CPT coding for pain management is difficult and requires considerable knowledge on
    the part of the medical coder who carries out the task in-house. It is easier to
    entrust the job to a medical coding company that can offer the service of trained,
    professional medical coders and billers.
    Commonly Used CPT Codes
    Joints and Bursa Injection or Aspiration

    Major joint/bursa: 20610 (Arthrocentesis, aspiration and/or injection; major


    joint or burse(knee, hip, shoulder, trochanteric bursa, subacromial bursa, pes
    anserine bursa) This does not include the injectable drug which should be
    billed separately with the appropriate J code
    Fluoroscopic needle guidance (non-spinal): 77002

    Tendons, Ligaments, and Muscle Injections

    Tendon origin/insertion: single 20551


    Trigger point injection (3 or more muscles): 20553

    Nerve Blocks

    Greater occipital nerve block Injection- anesthetic agent: 64405


    Intercostal nerve (single) Injection, anesthetic agent: 64420

    Epidural Steroid Injections (ESI)

    Interlaminar cervical or thoracic: 62310


    Transforaminal cervical or thoracic (first level): 64479

    Facet Joint Procedures

    Intraarticular joint or medial branch block (MBB) cervical or thoracic (1st


    level or site): 64490
    Intraarticular joint or medial branch block (MBB) lumbar or sacral (3rd level
    or site): 64495

    Radiofrequency Ablation (RFA) / Destruction of Facet Joint

    Radiofrequency ablation (RFA) cervical or thoracic (1st joint): 64633


    Radiofrequency ablation (RFA) lumbar or sacral (each additional joint):
    64636

    Sacroiliac Joint

    Sacroiliac joint (SIJ) with fluoroscopy: 27096


    Sacral lateral branch blocks: 64450

    Vertebroplasty

    Vertebroplasty Thoracic (1st level): 22520


    Vertebroplasty Lumbar (each additional level): 22522

    Kyphoplasty

    Kyphoplasty Thoracic (1st level): 22523


    Kyphoplasty Lumbar (each additional level): 22525

    CPT Coding Changes 2013


    Revised Codes

    76942- Ultrasonic guidance for needle placement, (e.g. biopsy, aspiration,


    injection, localization device), imaging supervision and interpretation
    64612- Chemodenervation of muscle(s); muscle(s) innervated by facial
    nerve, unilateral (e.g. for blepharospasm, hemifacial spasm
    64561- Percutaneous implantation of neurostimulator electrode array: sacral
    nerve (transforaminal placement), including image guidance, if performed
    64614- Chemodenervation of muscle(s); extremity and/or trunk muscle(s)
    (e.g. for dystonia, cerebral palsy, multiple sclerosis

    New Codes

    64615- Chemodenervation of muscle(s); muscle(s) innervated by facial,


    trigeminal, cervical spinal and accessory nerves, bilateral (e.g. for chronic
    migraine)
    +95940 - Continuous IONM in the OR one on one monitoring requiring
    personal attendance, each 15 minutes

    95907-95913- Nerve conduction tests studies new codes in 2013 are used to
    reflect number of studies performed, rather than each nerve, as the unit of
    service.
    +95941 - Continuous IONM, from outside the OR (remote or nearby) or for
    monitoring of > 1 case while in the OR, per hour

    Deleted Codes

    95900, 95903 and 95904- nerve conduction tests codes


    +95920- Intraoperative neurophysiology

    Highlights of CPT Coding Updates

    None of the anesthesia codes were


    added, deleted, or revised for 2013.
    CPT 2013 defines time for all time-based
    codes. These are codes the selection of
    which depends on the amount of time
    required to perform the service. Time is
    the face-to-face time with the patient
    unless other specific instructions are
    contained in the code or code range
    instructions. A unit of time coincides
    with the passing of the midpoint. In case
    a different service is performed side by
    side with a time-based service, the time
    required for the concurrent service
    cannot be included in the time used to
    report the time-based service.
    A complete rewrite of the Medicine-Psychiatric Services section is made in CPT
    2013 including revised codes, 11 new codes, and 27 deletions.
    Parenthetical note for code 76942, imaging supervision, interpretation and
    ultrasound guidance for needle placement has changed.
    The term Qualified Healthcare Professional (QHP), and its usability has been
    introduced. Distinct from clinical staff, a physician or other qualified
    healthcare professional refers to an individual who is qualified by education,
    licensure/regulation, training and facility privileging (when applicable), who
    performs a professional service within her/his scope of practice and
    independently reports that service. Clinical staff cannot individually report a
    professional service that he/she has assisted in.

    Some Rules for Pain Management Coding

    To report postoperative pain management, CPT codes 62310-62319 shouldnt


    be used if a narcotic or other analgesic and anesthetic agent are injected
    postoperatively through the same catheter.
    CPT codes 64615 and 64614 can be reported only once per session.
    Modifier 50 is to be reported for performing bilateral procedures.

    The billing could be separately done if the surgeon is assisted by the


    anesthesiologist by performing an epidural or peripheral nerve block injection
    for postoperative pain management.
    Modifier 52 is to be reported for an incomplete procedure.

    Merits of Outsourcing Pain Management Coding


    Instead of carrying out the heavy task of pain management coding in-house, you
    could benefit a lot by outsourcing the task to a reliable medical coding and billing
    company. Benefits include:

    Regular follow-up with insurance companies


    Enhanced cash flow and better collections

    HIPAA compliant medical coding services

    Minimal chance of under coding and over coding

    Efficient management of the claim denial process


    Improved patient satisfaction
    Focus more on your medical practice

    About Outsource Strategies International


    Outsource Strategies International (OSI) is a HIPAA Compliant medical coding
    company that provides medical coding outsourcing services to physicians, billing
    companies, and individual doctors. The company utilizes advanced software such as
    EncoderPro,FLashcode and CodeLink to facilitate speedy medical insurance billing
    and coding. For more information visit http://www.outsourcestrategies.com/

    You might also like