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Neurology & Pain Management Coding Alert

Study Notes, Knock Down EMG Coding Concerns
When you see an EMG, check for evidence of this additional service. When a patient wal... Read more
ICD-10 Coding:
Base Your Skull Fracture Coding on These Dx Tips
Remember, laterality matters with ICD-10. Fractures in the skull base are complex to t... Read more
Conduct Self-Audits, Spot Coding Flaws Before Payers
Rely on this expert FAQ to I.D. potential audit hotspots. Medical practices that conduct ... Read more
Reader Question:
Use Single Code on Motor/NCS Test Combo
Question: An established patient reports to the neurologist for a nerve conduction ... Read more
Reader Question:
Method Matters When Choosing Infusion Code
Question: Encounter notes indicate that one of our nonphysician practitioners (NPPs... Read more
Reader Question:
Use CPT® Smarts to Jolt Your CPR Coding
Question: What are the time requirements associated with CPT® code 92950? Ark... Read more
You Be the Coder:
Coding E/Ms That End in Nursing Care
Question: An 86-year-old established patient with worsening dementia due to early-o... Read more
CPT® 2017:
New Injection Codes Bundle Guidance
CPT® changes should make injection/guidance combo easier to code. When CPT® rolls out ... Read more
E/M Coding:
Wait for Service to End, then Code Observations
Expert: Here's how observations can turn to inpatient admits. Coders choosing the correct... Read more
Separate Procedures Before Choosing 59/X
Modifier 59 or one of the X modifiers? Choice still payer-dependent. As if identifying d... Read more
Case Study:
Dual Pain Complaints Could Spur 59/X Claims
Check out this dual-injection modifier 59/X scenario. With all the details typically invo... Read more
Reader Question:
Consider Type of Telemedicine When Choosing Code
Question: Often, one of our neurologists or qualified nonphysician practitioners (NPP... Read more
Reader Question:
Zika Gets Its Own Code in ICD-10
Question: We don't typically get patients with Zika virus, but the neurologist recent... Read more
You Be the Coder:
Coding Both Parts of EDX Test
Question: I have a confusing claim in front of me. Encounter notes indicate that th... Read more
Dx Codes Get Bilateral in 2017
Latest ICD-10 includes new options for CTS, CRPS, among other conditions. The Centers for... Read more
Hone EEG Coding Chops With This FAQ
Here's why the patient's consciousness matters during EEGs. When patients report to your ... Read more
E/M Coding:
Use Counseling Exception Where Allowed to Prevent Underpayments
When time dominates the E/M encounter, the exception might apply. If you’re not ... Read more
Reader Question:
Document Encounter Specifics to Duck Observation Denials
Question: We recently submitted a 99236 code for an observation service our physician... Read more
Reader Question:
Consider Specifics Before Choosing Injection Guidance Code
Question: A new patient reported to our physician complaining of pain in his right sh... Read more
Reader Question:
Drop 1-Hour Rule on These Neurostimulator Tests
Question: Our physician recently performed a complex spinal cord neurostimulator te... Read more
You Be the Coder:
Boost Injection Smarts by Knowing Tarsi Space
Question: How do you code for sinus tarsi injection? West Virginia Subscriber Answ... Read more
Pain Management:
Check Out This Arthrocentesis Q&A, Avoid Denials
Remember: You might be able to report J code for drugs. When your physician performs arth... Read more
Hit Pay Dirt on Postop Management Claims with These Tips
Make sure both providers sign off on these claims. At times, your pain management specia... Read more
Provide Deep Dx Detail With 7th Character, X Placeholder Smarts
Here’s why you must include X placeholder if the code calls for it. If you&rsquo... Read more
Reader Question:
Get Your Count Right on HPI Levels
Question: Could you explain the basics of history of present illness (HPI) coding? Wh... Read more
Reader Question:
Prevent Federal Headaches By Obeying Stark Law
Question: I overheard one of our nurse practitioners (NPs) say that someone at the ... Read more
Reader Question:
Remember Time Limit for Locum Tenens Physicians
Question: We are looking to hire a locum tenens (LT) physician for a physician that... Read more
You Be the Coder:
Reporting Advance Care Planning
Question: I've heard there's been some recent reforms for reporting advance care plan... Read more
ICD-10 Coding:
Dive Deep Into ICD-10 for Diabetic Neuropathy Codes
Focus on type of diabetes and neurological complications. Neurologists will often prov... Read more
Nerve Studies:
Use This Advice to Nail EDX Coding
Remember, EMG usually accompanies NCS. If your physician performs a nerve conduction stud... Read more
Clip & Save:
Check Out This List of EDX-Related ICD-10 Codes
CTS, epilepsy prove medical necessity for EDX test suite. When your provider performs ele... Read more
Dual-Provider Coding:
Remember, Concurrent Care Cannot Address the Same Concern
Here’s the difference between ‘concurrent,’ ‘duplicative.’... Read more
Reader Question:
Standard Documentation Should Suffice on Shared Visits
Question: When submitting shared service claims, do you need to include extra docum... Read more
Reader Question:
Prove No Resident for Modifier 82
Question: Is there a difference in the reimbursement of procedures for modifiers 80 a... Read more
You Be the Coder:
Coding for GON Blocks
Question: Our physician did a left greater occipital nerve (GON) block. How can we re... Read more
News You Can Use:
Be Ready for ICD-10 Changes Later This Year
New codes, additions, and deletions will account for revisions in October. The five-year ... Read more
ICD-10 Coding:
Follow These Steps for Complete Epilepsy Diagnoses
Drill down on ICD-10 choice to shed more light on patient’s condition. When you&... Read more
E/M Coding:
Rely on Split/Shared Visit Coding in Non-Office Settings
When incident-to’s impossible, split/shared coding could be a substitute. When y... Read more
Master the Cervical Disc Disorders in ICD-10
Choose your codes based on pathology and anatomical location. In ICD-10, there are two... Read more
Reader Question:
Remember QW for Some Lab Tests
Question: Our practice recently received its clinical laboratory improvement amendm... Read more
Reader Question:
Observe 8-Hour Rule on 1-Day Observations
Question: One of our physicians performed an observation service for a patient that... Read more
You Be the Coder:
Reporting Tilt Table Function Tests
Question: After our physician made several attempts to evaluate the autonomic funct... Read more
New Edits Address Assay Codes
Lab testing codes now part of G0477, G0478. The latest iteration of the Correct Coding... Read more
Make Sure You're Up to Speed on These Migraine Terms
Complete coding depends on whether headache is intractable, or has status migrainosus. ... Read more
While Physician's Away, LT Rules Help You Garner Pay
Follow these locum tenens rules to max out pay for ‘substitute.’ It’... Read more
Reader Question:
Use JW to Recoup $$ for Some Discarded Drugs
Question: Our pain management practice is losing quite a bit of money on discarded dr... Read more
Reader Question:
Remember to Mark Professional Component With 26
Question: My physician recently provided a level-one initial hospital care service ... Read more
Reader Question:
Confirm Global Period, Then Report Spinal Cath Follow-up
Question: Our physician did a spinal epidural catheter revision. This was a tunneled ... Read more
Reader Question:
Use 'Exception' When Counseling Dominates E/M Service
Question: I have an encounter note in front of me that I cannot decipher. Notes ind... Read more
You Be the Coder:
Medicare's 'Direct Supervision' Rules
Question: I am trying to code a level-three evaluation and management (E/M) service... Read more
ICD-10 Coding:
Ease Migraine Coding Headaches By Finding Proper Fourth Digit
ICD-10: G43.0- is the ‘common migraine’ code. Choosing the proper diagnos... Read more
Clip & Save:
Observe These Diagnosis Rules for Chronic Migraines
Put coders on notice about what qualifies as ‘chronic.’ Practices that per... Read more
Pain Management:
Target TPI Coding by Counting Muscles, Documenting Pain
Providers can perform TPIs on any muscle group. When your provider performs trigger po... Read more
E/M Coding:
Use This Critical Care Q&A to Avoid Filing Lifeless Claims
Without a critical illness or injury, you can forget about 99291/99292. One of the most d... Read more
Reader Question:
Arm Yourself with Knowledge to Ease ESI Coding
Question: I’m new to pain management coding, so am learning a lot about the d... Read more
Reader Question:
Opt for Consult Code When You Spot 'Request for Opinion'
Question: A new patient came to see a neurologist in our practice to discuss whethe... Read more
Reader Question:
Count Days and Not Adhesions for Epidural Adhesiolysis
Question: Our physician inserted a spinal epidural catheter to break spinal adhesio... Read more
You Be the Coder:
Counting Days and Coding Actigraphy
Question: Encounter notes indicate that the neurologist conducted a level-four E/M ... Read more
Use These Hydrocephalus Dx Tips for Top-Notch Claims
Remember, there are several types of hydrocephalus. Neurologists who see patients with... Read more
Pain management:
Let These Tips Guide You When Reporting Pain Related to Psychological Factors
Include G89.x codes for pain when necessary. When you’re choosing a diagnosis code ... Read more
Get Patient to Sign ABN When Medicare Might Not Pay
Bonus: ABNs can also help patient relations; here's how. If your practice doesn't obtain ... Read more
Use G Modifiers to Stay 'Mainstream'
Confused about ABN-related modifiers? Check out this table. When the physician perform... Read more
Reader Question:
Use These Tips to Avoid CTS Diagnosis Miscodes
Question: Since ICD-10 premiered, I’ve been having some trouble choosing the co... Read more
Reader Question:
Check Chronic Dx Codes for Constant Pain
Question: For diagnosis coding purposes, what is the difference between acute and c... Read more
You Be the Coder:
Treating Tic Douloureux Pain
Question: An established patient with a current diagnosis of tic douloureux reports... Read more
Pain Management Focus:
Follow 3 Steps to Pain-Free Paravertebral Facet Joint Injection Coding
Remember that intra-articular and medial branch blocks are different. Administering parav... Read more
Implement This Easy Code Transition for Bell's Palsy
The ICD-10 descriptor mirrors the old ICD-9 choice. When your neurologist diagnoses B... Read more
Prepare Now for More EHR & HIPAA Compliance Scrutiny
Incentive payments are also on the radar. If you thought HIPAA enforcement efforts couldn... Read more
Reader Question:
Don't File 96372 With 20553
Question: A patient came to our office with pain and spasms in the bilateral cervic... Read more
Reader Question:
Know Extremity Lines for Needle EMG Coding
Question: I’m trying to determine whether a case involves three extremities &... Read more
Reader Question:
Stay Away From 64445 for Piriformis Nerve Block
Question: We normally bill 64445 for a piriformis nerve block, but Tricare does not... Read more
Reader Question:
Submit 64999 for Sphenopalatine Lidocaine Administration
Question: Our pain management specialist is looking into administering Lidocaine th... Read more
Reader Question:
Base J3301 Coding on 10 mg Calculations
Question: A patient presented with a bi-occipital headache with associated tenderness... Read more
You Be the Coder:
Choosing 64650 or 64999 for Coccygeal RFA
Question: My physician is planning to do RFA (radiofrequency ablation) of the coccy... Read more
CCI 22.0:
Don't Miss the Coding Overhaul Brought With the Latest CCI Edits
Pay special attention to the modifier indicators for PVB. Your New Year is starting with ... Read more
Lab Testing:
Be Prepared to Implement More Changes to Drug Test Coding
Say goodbye to G0431 and G0434, hello to 7 new choices. 2015 was a year full of commen... Read more
Cull Through Your Choices for Diabetic Neuropathy Diagnoses
ICD-9 had a lot of options, but ICD-10 has even more. If your physician treats a patie... Read more
Reader Question:
Report 64450 for Each Needle Placement
Question: Our physician performed radial, median and ulnar nerve blocks on the pati... Read more
Reader Question:
Understand the 'Initial Treatment' vs. 'Onset' Difference
Question: What is the difference between the “Date of the initial treatment&r... Read more
Reader Question:
Keep Tabs on How Workers' Comp Handles ICD-10
Question: I have been told we shouldn’t use ICD-10 for workers’ compens... Read more
Reader Question:
Move 2015 PQRS Claims Through the Process Now
Question: How long do we have to send in 2015 claims to report PQRS measures to Med... Read more
You Be the Coder:
Here's Your Rundown for Facet Syndrome Diagnoses
Question: Please guide us through the codes for facet syndrome in ICD-10-CM. Oklahom... Read more
Procedure Focus:
Understand the Ins and Outs of Cryoablation and RF Lesioning
Add these techniques to your knowledge of neurolytic destructions. Physicians can c... Read more
Diagnosis Coding:
Follow 3 Steps to Clarify Concussion Management Coding
Remember to move away from late effects codes. If you're scratching your head when it com... Read more
Dig for Specific Details When Reporting Neck Sprain
Tip: Spinal region also makes a difference. When you still coded with ICD-9, a single cod... Read more
Reader Question:
Don't Jump to Report 77002 With 64420 or 64421
Question: Are we able to bill for fluoroscopic guidance/placement separately for interco... Read more
Reader Question:
Choose Between S0020 and J3490 for Bupivacaine HCl Injection
Question: What is the best HCPCS code for a bupivacaine HCI injection (10 mL, single dos... Read more
Reader Question:
Non-Chemo Infusion Codes Include Hydration
Question: It is possible to bill for non-chemo infusion 96365 and 96367 and hydration th... Read more
Reader Question:
Differentiate Between Shared Visit and Incident-To
  Question:  An established patient came to our office for a follow-up with ... Read more
Reader Question:
Presence of Radiculopathy Distinguishes M47.812 From M47.892
Question: Our physician documented cervical spondylosis affecting the C2-3 and C3-4 join... Read more
Reader Question:
Keep These Tips in Mind for Locum Tenens Selection
Question: One of our physicians will be taking a six-month sabbatical, so we need to hir... Read more
Reader Question:
Get Specific With Lumbar Radiculopathy in ICD-10
Question: What ICD-10 codes can we submit to report the diagnosis of lumbar radiculopath... Read more
You Be the Coder:
Reverse Your SCS Analysis Denials
Question: A few months ago, Medicare started denying all our claims for spinal cord stim... Read more