Pain Management Coding Update: Facet Joint Injection CPT Changes for 2010

Posted on 29. Oct, 2009 by .

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 in their place, as follows:

• 64490 — Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; single level

• 64491 — … second level

• 64492 — … third and any additional level(s)

• 64493 — Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level

• 64494 — … second level

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Nerve Conduction Study Coding Tip

Posted on 03. Mar, 2009 by .

Did you know that new medical devices are opening doors for more specialties to perform nerve conduction studies?

The bad news: Coding and billing for these studies hasn’t gotten any easier, and there’s some bad coding advice floating around from some medical device companies that’s leading some coders astray.

Marvel Hammer teaches you to code correctly for nerve conduction studies, and alerts you to what’s often missing from your clinician’s documentation.

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