Pain Management Coding Update: Facet Joint Injection CPT Changes for 2010
Posted on 29. Oct, 2009 by Editor in Hot Coding Topics
Pain management, anesthesia, orthopedic, physiatry & neurology coders get ready for a facet joint codes shift that preps for ICD-10.
The 2010 version of CPT attempts to organize the facet joint injection codes by deleting 64470-64476 and debuting 64490- 64495…
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Tags: +64476, 64470, 64490, 64491, 64492, 64493, 64494, 64495, anesthesia, ICD-10, neurology, orthopedic, pain management, physiatry, zygapophyseal joint
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Deb Bridges,CPC-H
01. Nov, 2009
Thanks for the article on pain management facet joint injections. Can you clarify something for me please? I understand there are Category III codes (exp: 0213T) for facet injections. Which codes am I to use? I’m finding the changes difficult to understand at this point. Also, will the new codes be on the ASC fee schedule for 2010?
Marvel Hammer
14. Dec, 2009
The Category III codes are to be used when a physician uses ultrasound guidance to perform the various facet joint injections whereas the Category I codes (64490 – 94495) are to be used when either fluoroscopy or CT is used to needle guidance.
Yes, the new facet joint injection codes are on the 2010 ASC list
Tincy von Atzingen
12. Jan, 2010
The codes 64492 and 64495 state that they are not to be reported more than once per day. What do you do with bilateral facet injections of 3 levels? Does the third level only get reported one time with no modifier?
Erika
22. Jan, 2010
How do I determine when to use 01935 vs 01936 for facet blocks?