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Neurology & Pain Management Coding Alert

ICD-10 2021:
COVID-19 Code Gets ICD-10 Entry
Ataxia, Dravet syndrome also get Dx additions. ICD-10 released its new set of codes for 2... Read more
ICD-10 Coding:
Know Terms, Take the Pain Out of Coding Migraines
Migraines are of several different types, affect patients differently. A patient reportin... Read more
Modifier Madness:
Keep 24/25 Separate With These Tips
Expert eliminates E/M application confusion. Modifiers for evaluation and management (E/M... Read more
You Be the Coder:
Use This Strategy on ECoG Claims
Question: My physician analyzed an electrocorticogram recording from a previously placed b... Read more
Reader Questions:
Will N95 Masks Provision Lead to Negative Returns?
Question: One safety measure our pain management office has implemented during the COVID-1... Read more
Reader Questions:
Pump Up Your Programmable Refill Knowledge
Question: I'm having trouble determining the best way to code for programmable pump refill... Read more
Reader Questions:
Be Proactive by Procuring Actigraphy Coding Tips
Question: Notes indicate that the provider performed an actigraphy, with ‘test, rec... Read more
Reader Questions:
Service Site Matters on Supply Questions
Question: My office is not a surgery center, but we do perform minor surgeries under place... Read more
Anatomy:
Put Fine Point on Your Spinal Dx Coding
Vital: Knowing the difference between vertebral segment, interspace. Have you ever felt l... Read more
Spinal Procedures:
Know Decompression Types, Master Procedure Coding
Do you know the 3 types of decompression your provider's likely to perform? There are a l... Read more
Case Study Corne:
Boost Discography/Decompression Smarts With These Scenarios
It's vital to know whether the procedure was diagnostic or surgical. When patients report... Read more
Reader Questions:
Get the Lowdown on NCCI Updates
Question: I know a bit about the National Correct Coding Initiative (NCCI) quarterly edits... Read more
Reader Questions:
Keep COVID-19 Con Artists at Bay
Question: Even months into the COVID-19 pandemic, I still feel like it's kind of hard to c... Read more
Reader Questions:
Keep This Dx High on Your Cervical Disorder List
Question: My physician documented that the patient has a cervical disc disorder with myelo... Read more
You Be the Coder:
Using Injection Codes for 2020
Question: My physician injected an anesthetic agent into the nerves nnervating the pa... Read more
2021 E/M Coding:
Go Inside the Numbers for a Look at Changing Guidelines
MDM is going to be much more important, and defined a bit differently, in 2021. When 2021... Read more
2021 E/M Coding:
Check Out This Time-Based E/M Example
The 2021 rule changes could mean different coding for certain scenarios. There's bound to... Read more
Testing:
Use This Guide to Become a Cognitive Assessments Mastermind
Remember the 10 requirements for 99483. Having trouble wrapping your brain around how to ... Read more
Reader Question:
Keep Up With COVID-19 Rule Changes, Code Additions
Question: Though we are not directly responsible for patients with COVID-19, we do ha... Read more
Reader Question:
Think Twice Before Reporting This Code With EEG
Question: Can you bill 95816 with 95700? New York Subscriber Answer: No. In a parentheti... Read more
Reader Question:
Prove Medical Necessity for Both Services on 25 Claims
Question: We know that most insurers say separate diagnoses are not required to use modifi... Read more
You Be the Coder:
Check Out This Decompression/Discography Scenario
Question: Can you tell me what codes you would use for this clinical scenario? POSTOPERA... Read more
Telehealth:
Keep Current With Changing Telehealth Guidelines
Remember, telehealth differs from other virtual services. There's a lot going on in the c... Read more
Virtual Services:
Make Virtual Check-Ins a Reality With These Tips
Check out this roundup of the virtual services codes you'll see most. So you already kno... Read more
Interventional PM:
Get Patient’s PM Tx Right With Method Smarts
RFA, electrical stimulation can combat pain. Patients that require interventional PM ca... Read more
Reader Question:
ICD-10 Lines Up COVID-19 Codes
Question: What's the latest on ICD-10 coding for patients who have COVID-19? Michigan Sub... Read more
Reader Question:
Follow This Path to Osteoarthritis Dx Knowledge
Question: What is osteoarthritis, how is it different than rheumatoid arthritis, and what ... Read more
You Be the Coder:
Get Out the Gout Dx Codes for This TPI Scenario
Question: Encounter notes indicate that the provider performed three total trigger point i... Read more
2021 E/M Coding:
Time Has Come Today … to Prep for New E/M Rules
Here's the 2 elements you'll need to focus on moving forward. When a patient presents to ... Read more
Injections:
Get the Scoop on New/Revised Intro/Injection Codes
You should never report 64416 in conjunction with this code. This year, the CPT® ma... Read more
Interventional PM:
Prime Pain Pump, Injection Coding Knowledge
Interventional PM could involve several types of nerve blocks. Patients reporting to the ... Read more
Reader Question:
Get NF2 Dx Right the First Time
Question: Which ICD-10 code should I report for neurofibromatosis type 2? Alaska Subscrib... Read more
Reader Question:
Return to OR Requires This Modifier
Question: Our physician removed an implanted pain pump and catheter from a patient whose p... Read more
You Be the Coder:
Coding Halstead–Reitan Tests
Question: My physician spent two hours with a patient administering the Halstead–Re... Read more
ICD-10 Coding:
Make Meningitis Dx Concerns Disappear With This FAQ
Here's the code to report for nonpyogenic meningitis. When the medical record reflects a ... Read more
Q&A:
Incident-to Pay Still Available … Get it While You Can
Remember, incident-to could be in its final months. Incident-to billing is still accepted... Read more
Compliance:
Feds Finding Fraud in Opioid Prescribing, Telemedicine
Prevent problems by getting prescribing procedures in place. As 2020 kicks off, PM practi... Read more
Reader Question:
Notes Need to Guide Decision Between These Foot Pain ICD-10s
Question: During a level-two evaluation and management (E/M) service for a new patient, th... Read more
Reader Question:
Know Which Injection Codes to Use for Different Botox® Shots
Question: What do PM practices use Botox® to treat, and which codes would we typically us... Read more
Reader Question:
Use These Definitions of ‘Medically Necessary’
Question: Recently, our practice has had a couple of claims denied. The payers said t... Read more
Reader Question:
Use Correct Infusion Code or Risk Denial
Question: One of our providers performed an intravenous (IV) infusion for prophylaxis. Enc... Read more
You Be the Coder:
Coding a Potential E/M-Finger Stick Scenario
Question: Should I apply modifier 25 onto an evaluation and management (E/M) visit code (i... Read more
Featured Condition:
CRPS: Keep Coding Pain at Bay With CRPS FAQ
Hot tip: Know other terms for CRPS I, II. While not physically painful, choosing the corr... Read more
News You Can Use:
Is Incident-to not to Be Soon?
New guidelines for NP/PA services on the table. Your practice has most likely used “inc... Read more
ICD-10 Coding:
Focus a Must for Accurate Parkinson’s Dx
Remember that secondary Parkinsonism is not same as Parkinson's disease. When a patient w... Read more
Reader Question:
Bulk Up Unlisted Procedure Claims With This Advice
Question: It seems whenever our practice reports a service using an unlisted procedure CPT... Read more
Reader Question:
Know Technologist Definition for EEGs/VEEGs
Question: I noticed that some of the new EEG and VEEG codes for 2020 specify that an ... Read more
Reader Question:
Look for Secondary Dx With Acute Osteomyelitis
Question: A new patient suffering from acute osteomyelitis in his right shoulder repo... Read more
You Be the Coder:
Decipher This Blepharospasm Tx Scenario
Question: After a level-two evaluation and management (E/M) service for a new patient, the... Read more
CMS Final Rule:
Final Rule Makes E/M Changes for 2020, 2021
CMS scraps blended E/M pay idea after feedback. On Nov. 1, 2019, the Centers for Medicare... Read more
2021 E/M Coding:
New Prolonged Services Code Coming
The still-incomplete code will be effective in 2021. The 2020 Centers for Medicare & ... Read more
Clip and Save:
Keep These Discography-Related ICD-10 Codes Handy
Check with payers individually for approved, complete, Dx lists. When you're coding for di... Read more
Reader Question:
Use Caution When Deciding Chronic Vs. Acute
Question: When should I code for an acute form of a condition as opposed to a chronic... Read more
Reader Question:
Don’t Sleep on J Codes for CTS Shots
Question: Our provider often performs therapeutic injections for patients with carpal tunn... Read more
Reader Question:
Descriptor Smarts Lead to Complete Botox® Claims
Question: When our physicians administer Botox® for chronic migraines, we bill ... Read more
Reader Question:
Ask These Questions Before Choosing Unequal Limb Dx
Question: An established patient reports to the PM specialist for an evaluation and manage... Read more
Reader Question:
Separate Eye, Facial Pain With 2 Codes
Question: How would you diagnose orbital pain and facial pain in a patient? During a recen... Read more
You Be the Coder:
Coding Herniated Disc Tx
Question: A patient reports for surgery with a preoperative diagnosis of herniated disc. T... Read more