Neurology & Pain Management Coding Alert

ICD-10 Coding:
Obtain MS Confirmation on G35 Claims
Knowing what defines condition can help you code. Although ICD-10 coding for multiple scl... Read more
Get on Same Page As Surgeon on Postop Pain Management
Here's what to do when your PM practice takes over for another surgeon. Performing pain m... Read more
E/M Coding:
Near-Future E/M Coding Will Differ Drastically
CPT® panel rolls out ambitious 2021 plan. The way you code outpatient evaluation and man... Read more
Reader Question:
Use These Codes for Secondary Parkinsonism
Question: How does secondary Parkinsonism differ from Parkinson's disease, and what ICD-10... Read more
Reader Question:
Don’t Get Caught in Web of Cluster Headache Diagnoses
Question: During a level-three evaluation and management (E/M) service for a new patient, ... Read more
Reader Question:
Use Most Specific Chronic Pain Dx
Question: Encounter notes indicate that the provider treated a patient with “chronic pai... Read more
You Be the Coder:
Coding ESI With Guidance
Question: I'm trying to determine the level of risk in the What is the correct way to repo... Read more
Sort EEG Types With This Expert Advice
Know the 4 states of consciousness. If your practice sees patients that require electroen... Read more
Dodge TPI Misfires With This Advice
Report these shots wrong and you might trigger an audit. At just about any medical practi... Read more
E/M Coding:
Proceed With Caution When Considering ‘Counseling Exception’
It's tricky to code based on time. Have you ever chosen an evaluation and management (E/M... Read more
You Be the Coder:
Determining E/M Risk Level
Question: I'm trying to determine the level of risk in the following encounter: a patient ... Read more
Reader Question:
Find All 3 Services to Code 63047
Question: Does 63047 require all three components, laminectomy, facetectomy, and foraminot... Read more
Reader Question:
Get the Right Dx for Shin Splints
Question: A new patient reported to the PM provider complaining of intense shin pain. Afte... Read more
Reader Question:
Know What Auditors Look for on Patient Status
Question: Our practice was recently audited, and an established patient visit was marked a... Read more
Reader Question:
I.D. Nerve Before Coding Occipital Stimulation
Question: Our pain management specialist placed a dual 8-electrode occipital stimulat... Read more
Scour Notes, Max Out Stenosis Checks
Did your provider go beyond E/M for confirmation? You might be able to code a procedure. ... Read more
CPT® Coding:
Check for Injections, PT for Spinal Stenosis Px
Treatments you'll see likely won't involve surgery. Your physicians may take necessary st... Read more
Keep Current With Razor-Sharp TPI Documentation Smarts
Take this expert advice on what to include to cement your TPI claims. Coding for trigger ... Read more
You Be the Coder:
The Eternal Quest to Stay Abreast of ICD-10 Terminology
Question: After a level-two evaluation and management (E/M) service for a new patient, the... Read more
Reader Question:
Take a Second(ary) Look at External Morbidity Codes
Question: In the interests of painting the most complete diagnosis picture possible, our c... Read more
Reader Question:
Notes Are Key to Success on Spinal CT Claims
Question: Encounter notes indicate that the provider performed a computed tomography (CT) ... Read more
Reader Question:
Report These Hospital Codes With Care
Question: Can you use inpatient initial care codes 99221-99223 more than once in the same ... Read more
Reader Question:
Separate Systems and Areas on E/M Levels
Question: We are performing a voluntary self-audit of our evaluation and management (E/M) ... Read more
Find Embolism Site for Sharp ICD-10 Coding
Do you know the symptoms for each type of cerebral embolism? Coders that have had to repo... Read more
Procedure Coding:
Get a Leg Up With Extremity Count on EMGs
Here's why you should think of EMG for a variety of diagnoses, not just CTS. Patients wil... Read more
ICD-10 Coding:
Note Documentation So Your Limb Pain Dx Isn’t Left Hanging
Incomplete Dx could mean denials. Whenever a patient has pain in any limb — arm or leg ... Read more
Reader Question:
Use This Code for Pain in the Neck … Usually
Question: When a patient reports to the physician complaining of neck pain, what is the co... Read more
Reader Question:
Interpreter Won’t Always Mean More MDM Points
Question: We recently took on a new patient who is deaf. The patient came with a family me... Read more
Reader Question:
Don’t Get Caught Off-Guard With Spontaneous Rupture Dx
Question: Notes indicate that the provider performed an evaluation and management (E/M) se... Read more
Reader Question:
Use Add-on Smarts to Ease ESI Coding
Question: I have some questions about billing for epidural steroid injections (ESIs). Pati... Read more
Reader Question:
Go International With HIPAA Observance
Question: Our practice uses a small cloud services provider (CSP) based in Canada to store... Read more
You Be the Coder:
Trigeminal Neuralgia Treatment
Question: An established patient with trigeminal neuralgia reports to the physician compla... Read more
CCI Edits:
Get Familiar With New Arthrodesis Bundles
You can report 63047 and +63048 together … but be careful. As if you didn't have enough... Read more
E/M Coding:
Use Patient Status Smarts to Determine New/Established
The 3-year rule is vital, but it's not the only guideline for patient status. There's a m... Read more
Modifier Madness:
Correctly Use This Trio of Modifiers, Ensure Claim Success
When a claim comes back because of a modifier problem—be it the lack of a modifier, the ... Read more
Reader Question:
Code Muscle Tests After Counting Body Parts
Question:  The PM specialist performs manual muscle testing on three muscles in a pat... Read more
Reader Question:
Don’t Work Overtime on OT Coding
Question: When one of our providers performs occupational therapy, how should I report the... Read more
Reader Question:
Trauma Status Matters on Cuff Tear
 Question: The provider performs a level-three evaluation and management (E/M) servic... Read more
Reader Question:
Be Sure Combo Codes Are Applicable
Question: Notes indicate that the PM physician performed a short-latency somatosensory evo... Read more
You Be the Coder:
Making a Catheter Code Choice
Question: How should I report a catheter implantation for long-term medication administrat... Read more
2019 Fee Schedule:
CMS Moves to Reduce Practice Paperwork
‘Patients over Paperwork' will be a federal focus in 2019. CMS started its “Patients ... Read more
CCI Edits:
New Neurostimulator Edits Bundle More Into Procedure Codes
Remember: Always check the modifier indicator. Now that the Correct Coding Initiative (CC... Read more
2019 Fee Schedule:
Get Used to Telehealth, Virtual Care Codes
G codes revealed for certain services. Coders want to stay current on all the coding chan... Read more
Reader Question:
Proceed With Caution on Previous Catheter Removal
Question: What CPT® code should we report if the neurologist removed a previously placed ... Read more
Reader Question:
Remember All Elements When Choosing EEG Code
Question: The physician performed electroencephalography (EEG) video monitoring on a ... Read more
Reader Question:
Keep Updated on New Codes, Resources
Question: After a level-three evaluation and management (E/M) service for a new patient, t... Read more
Reader Question:
Discern Office From Inpatient Consult With This Info
Question: What is the difference between an office consultation and an inpatient consultat... Read more
You Be the Coder:
E/M + X-ray in Same Encounter
Question: An established patient reports to the PM specialist complaining of severe rib pa... Read more
2019 Fee Schedule:
CMS Pauses Plan to Blend E/M Payments
Medicare offers a new payment proposal for 2021. For neurology and pain management coders... Read more
ICD-10 Coding:
Don't Let Disc Disorder Dx Confusion Back You Into a Corner
Here's why you should learn the basics of myelopathy and radiculopathy. When it comes to ... Read more
Clip And Save:
Treatments Vary for Cervical Disc Disorder Px
Diagnostics, therapy, medication admin top services for these conditions. If a patient is... Read more
Reader Question:
Drop Pain Dx When Provider Reaches More Definitive Dx
Question: During the course of an evaluation and management (E/M) service for a new patien... Read more
Reader Question:
Make Laterality Call Before Choosing Monoplegia Code
Question:  Which ICD-10 code should we report monoplegia of a lower limb? Tennessee ... Read more
Reader Question:
Stay on the Beat With Circadian Rhythm Disorder Dx Chops
Question: I just started working at a PM clinic that performs sleep studies, and trying to... Read more
Reader Question:
Make Px Condition Clearer With External Cause Codes
Question: A 9-year-old was playing on the monkey bars at a local park when he fell and hur... Read more
You Be the Coder:
Pause, Count the Minutes Before Coding Repeat Shot
Question: A patient with complex regional pain syndrome (CRPS) I in her arm receives a the... Read more