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Neurology & Pain Management Coding Alert

Modifiers:
Review 52 Skills with 2 Neuro-Specific Scenarios
Reduced service? Don't reduce your coding finesse. Neurology coders are quite familiar wi... Read more
Procedure Coding:
Don't Forget: Discography and Decompression Coding Differ
One test is diagnostic, one therapeutic ... do you know which is which? Patients reportin... Read more
Inside the Notes:
Get Official Payer Lists on Dx for Discography
Individual payer rules can vary greatly for these services. When reporting discography pr... Read more
Reader Question:
Drill Down for Details on Ab Tenderness
Question: A new patient reports to the PM specialist complaining of pain in his lower abdo... Read more
Reader Question:
Use 3-Year Rule for New/Established Decision
Question: What is the difference between a new and established patient when reporting eval... Read more
Reader Question:
Spell Out Components for Successful 95970 Claims
Question: The provider saw a new patient for an outpatient evaluation and management (E/M)... Read more
You Be the Coder:
Extended EEG Monitoring Time
Question: I have an encounter form that states the PM provider performed and electroenceph... Read more
CPT® 2018:
Revisions, Deletions Highlight Relevant Code Changes
CPT® specifies TENS neurostimulator in 64550. Neurology and pain management coders will ... Read more
Modifiers:
Know these 4 Answers to Clear Up Many 25 Questions
Can you use 25 on a procedure code? Are you sure about that? Reporting a code as common a... Read more
Case Study Corner:
Watch Modifier 25 Come Alive Through Coding Scenarios
These cases represent 2 very common modifier 25 encounters. Individual cases always vary,... Read more
Reader Question:
Consider Place of Service for EEG Coding
Question: I just got a job working in a pain management clinic located within a hospi... Read more
Reader Question:
Avoid Reporting Prolonged E/M Codes with ED Codes
Question: Is there any way to report prolonged evaluation and management (E/M) servic... Read more
You Be the Coder:
Submitting Accurate Migraine Dx Codes
Question: Notes indicate that the clinician performed a bilateral Botox A (onabotulin... Read more
Mythbusters:
Know the Facts, Hit Bullseye on CTS Injection Claims
CTS diagnosis a must for some, but not all, payers on 20526. Coders that can't cope with ... Read more
Clip and Save:
Max Out Payment by Knowing CTS Shot Drug, Amount
Remember, not all CTS injections involve the same drug. When you're coding for therapeuti... Read more
ICD-10 Quiz:
Test Yourself on Nontraumatic Subarachnoid Hemorrhage Diagnoses
Location matters when choosing an I60.XX code. One important change that ICD-10 has intro... Read more
Quiz Answers:
Check Your Nontraumatic Subarachnoid Hemorrhage Answers
Here are the answers to the ICD-10 coding quiz. Answer 1:  The correct option is a, ... Read more
Advance Care Planning:
Use this Advice to File A-OK ACP Claims
Do you think POS matters on ACP services? Are you sure about that? Scratching your head o... Read more
Reader Question:
Assume Nothing when Coding Spinal Fluid Collection
Question: I have a patient status post-laminectomy. The provider states that there is... Read more
Reader Question:
Consider Age a Factor when Coding Early-, Late-Onset Alzheimer's
Question: If our provider diagnoses a patient with Alzheimer's disease, can I use the... Read more
You Be the Coder:
Coding for Spinal Accessory Nerve Neoplasm
Question: Our physician documented a diagnosis of neoplasm in the spinal accessory ne... Read more
ICD-10 2018:
New Dx Set Expands Spinal Stenosis Options
Do you know what neurogenic claudication is? You’ll need to in 2018. Summer’s... Read more
FAQ:
Stay Alert to Ace Sleep Apnea Dx Coding
Know what makes sleep apnea obstructive. Practices that treat patients with sleep apnea n... Read more
News You Can Use:
Medicare Conversion Rate Likely to (Slightly) Increase in 2018
… but don’t expect this bump to affect your bottom line much. The Centers fo... Read more
Compliance:
Pennsylvania Payer Puts Brakes on Modifier 25 Pay
BCBS unveils new policy experts call ‘absurd,’ ‘awful.’ Neurology... Read more
Reader Question:
Make Friends with G Modifiers for ABN Claims
Question: I am new to coding for Medicare beneficiaries, and I’m still trying t... Read more
Reader Question:
Know Mild, Persistent Differences for Anxiety Depression Dx
Question: Our provider just seen performed a level three new patient evaluation and m... Read more
Reader Question:
Mind Injection Site on Morton's Neuroma Claims
Question: I have a puzzling claim in front of me. Notes indicate that the provider pe... Read more
You Be the Coder:
Ease Your Dx Coding Pain with Unspecified Code
Question: During the course of a level-four evaluation and management (E/M) service f... Read more
ICD-10:
Substance Abuse Codes Get More Accurate in New Manual
In 2018, coders can pinpoint patient’s stage of remission. The World Health Organiz... Read more
ICD-10:
Pinpoint Sclerosis, Mood Disorders with Code Additions, Revisions
ICD-10 gives primary lateral sclerosis its own code. Neurology and PM coders will have to... Read more
CPT® Coding:
Use Coding, Documentation Smarts to Nail Unlisted Code Claims
Good idea: Ask insurer how to document, submit unlisted procedures. Unlisted codes are se... Read more
Compliance:
NGS Reveals Huge Errors in 99215 Claims
Practices reported staggering amount of overcoded claims. Don’t miss what a recent ... Read more
Reader Question:
Count Each Side Separately for NCS Studies
Question: I need help with this nerve conduction study (NCS) claim: Notes indicate th... Read more
Reader Question:
Code CCM Accurately with These Expert Tips
Question: We have been struggling with coding for our patients who require chronic ca... Read more
Reader Question:
Code Team Conferences by the (CPT®) Book
Question: Could you give me some insight into medical team conference code 99366? We ... Read more
You Be the Coder:
Coding for Reduced EEG Services
Question: Our provider performed an electroencephalogram (EEG) recently, and I was th... Read more
ICD-10 Coding:
Get Extremely Specific with Extremity ICD-10s
Arm yourself for coding battle with this limb pain primer. Since ICD-10’s implement... Read more
Drug Coding:
Pump Up Botox A Coding Chops for Optimal Claims
Remember, migraines aren’t the only condition Botox A can help. The term “Bot... Read more
Modifiers:
Use JW to Recoup Some Botox A Bucks
Here's how scheduling can help you maximize unit use. Coders who aren't already on the mo... Read more
Reader Question:
Use These Pointers for Counseling Exception E/Ms
Question: Could you explain the counseling exception, and how it relates to office ev... Read more
Reader Question:
Use this Guide to Code Multiple Nerve Blocks
Question: My physician performed three bilateral nerve blocks: a lesser occipital ner... Read more
Reader Question:
Take these Tips to Heart for MIPS Measure Reporting
Question: I know that the four quality reporting measures for the Merit-Based Incenti... Read more
Reader Question:
Resist Urge to Code 99221, 99238 Together
Question: Can you ever report 99221 and 99238 on the same day under for the same pati... Read more
You Be the Coder:
Wrangling with Wry Neck Dx
Question: A new patient reported to the practice complaining of neck pain. After an e... Read more
Testing:
Break Down 3 Evoked Potential Types for Optimal Pay
Carpal tunnel patients often need short-latency studies. Coders that don’t have a g... Read more
MACRA:
Prep Now for New Quality Reporting Measures
Goodbye, PQRS. Hello, MIPS! If you think that the end of the Physician Quality Reporting ... Read more
Compliance:
Get Ready for New ABN Form
In June, tweaked ABN will premiere. On June 21, CMS wants all practices to start using a ... Read more
Reader Question:
Is Px a Southpaw? It Might Matter for Hemiplegia Dx
Question: The physician performs a level-three evaluation and management (E/M) servic... Read more
Reader Question:
Leave E/M Off Brain Mapping Claim
Question: Our provider performed brain mapping for a patient who had been in the hosp... Read more
Reader Question:
Report Pre-EEG E/M Separately ... Sometimes
Question: If our physician performs an E/M service and then performs an electroenceph... Read more
You Be the Coder:
Reporting Mixed CP
Question: Our physician treated a patient in the observation unit of the local hospit... Read more
Postoperative Care:
Zero in on These Postop Pain Management Points
Documentation always helps postop pain reimbursement chances. If a surgeon places your pr... Read more
E/M Coding:
NGS About to Up Some E/M Demands
Detailed exams are about to level up. Recently, the Medicare Administrator Contractor (MA... Read more
Ask an Expert:
Reserve XP, XU Modifiers for Exceptional Situations
Here's why your use of these modifiers will be rare. While CPT® still has modifier 59 (D... Read more
Reader Question:
Drill for Details on Falling Patients
Question: When our practice treats patients with a history of falling, what ICD-10 co... Read more
Reader Question:
Remember Differences Between Muscle, ROM Tests
Question: Our neurology practice recently began performing muscle and range of motion... Read more
Reader Question:
Include Interpretation When Choosing EEG Code
Question: One of our physicians performed an electroencephalogram (EEG) video monitor... Read more
Reader Question:
Mind Behavioral Disturbance on Vascular Dementia Dx
Question: Our physician saw a 75-year-old established patient with reduced memory and... Read more
Reader Question:
Check CCI, Then Look at Dx Codes Post-Denial
Question: I recently reported a combined electroencephalographic [EEG] and video reco... Read more
Reader Question:
Yes, You Can Use Z Codes as Primary Dx
Question: OK, settle a debate we’ve been having in the coding office. Some code... Read more
You Be the Coder:
CTS Diagnosis Coding
Question: Our physician recently performed a level-two evaluation and management (E/M... Read more
ICD-10:
Anatomy Is Key in Cerebral Embolism
Confirm symptoms to locate site of occlusion; check laterality before you select a code. ... Read more
Modifiers:
Use Modifier 26, Snag Your Provider's Portion of Service
If the equipment’s not yours, you might need this modifier. Medical practices often... Read more
E/M Coding:
Know PFSH, and Some E/M Coding Concerns Will Be History
PFSH level vital to accurate E/M history level. At some point in their careers, most code... Read more
Reader Question:
New Appendix Maps Out Telemedicine Codes
Question: How can we know whether or not a code is eligible for use with telemedicine... Read more
Reader Question:
Count Clinical Staff Time for 99487
Question: In the chronic care management code 99487, the descriptor mentions ‘6... Read more
Reader Question:
Navigate 'Negative' E/M Notes with this Advice
Question: Our physician always marks “all others negative” in the electro... Read more
You Be the Coder:
Coding Neck Sprain Diagnoses
Question: Our provider recently provided an evaluation and management (E/M) service t... Read more
CCI Update:
Be Alert for TPI Bundles, Moderate Sedation Error
Here’s why you might have been getting denials for new sedation codes. The latest C... Read more
E/M Coding:
Read This FAQ for the 411 on ROS
You cannot choose an E/M code before settling on ROS level. One of the important aspec... Read more
ICD-10:
New Dx Class Specifies Stroke Scale Scores
Report NIHSS results with one of 42 new codes. When ICD-10 2017 took effect in October... Read more
Reader Question:
Count Tests, Then Code ENG
Question: Encounter notes indicate that the physician performed an electronystagmog... Read more
Reader Question:
Check for Computer Use to KO Concussion Test Claims
Question: When the physician tests a patient for a concussion, how should I code th... Read more
Reader Question:
Use Single Critical Care Code for 1st Hour
Question: If the physician meets the requirements for critical care and has spent o... Read more
Reader Question:
Find Face-to-Face Evidence Before Coding 99217
Question: The physician meets an established patient at the hospital at 9 p.m. Thur... Read more
You Be the Coder:
Coding Drug Supply on TPIs
Question: Our provider performed significant, separately identifiable level-three e... Read more
Procedure Coding:
Keep Up with Laterality Rules on Chemodenervation
Experts: Code extremity-specific chemodenervation with different codes. When you code ... Read more
ICD-10 Coding:
Stay Calm, Follow 3 Steps for Coding Cranial Nerve Neoplasms
Remember, not all cranial nerves have their own ICD-10s. Choosing a diagnosis code for... Read more
E/M Coding:
Check Payer Policy on Prolonged Service Codes
Remember, 'clinical staff' now has its own prolonged service code set. Practices performi... Read more
Reader Question:
Know Patient's Consciousness for EEG Coding Success
Question: An established patient my physician has been treating for frequent headache... Read more
Reader Question:
Get Focused on Focal, Diffuse TBI Differences
Question: Our neurologist recently performed an evaluation and management (E/M) ser... Read more
Reader Question:
Move to E/Ms When Surgery's Canceled
Question: Our physician decided not to take the patient for an elective surgical pr... Read more
Reader Question:
Include Oral Pain Med Admin in E/M Coding
Question: When one of our providers administers oral pain medication such as acetam... Read more
You Be the Coder:
Occipital, Trigeminal Nerve Injections
Question: How do I code for anesthetic injections into the greater occipital nerve ve... Read more
Procedure Coding:
Check Condition, Then Code Chemodenervation
CPT®, insurer policy light way on acceptable Dx codes. Patients suffering from condition... Read more
CPT® Update:
Say 'Hi' to New Moderate Sedation Codes
Here’s why you shouldn’t report 99143-99145 for services after Jan. 1. The ne... Read more
Modifiers:
Choose from 25 or 57 After Checking Global
No global days? Make modifier 25 your coding companion. To get the most out of every pati... Read more
Reader Question:
Check Insurer Requirements for HPI Counts
Question: An established patient reports to the physician with a chief complaint of... Read more
Reader Question:
Update ROS Upon Every Review
Question: How often must you update the review of systems [ROS] for a patient? With... Read more
Reader Question:
Get Complete Picture, Then Choose Celiac Plexus Injection Code
Question: Encounter notes indicate that the physician performed a celiac plexus blo... Read more
You Be the Coder:
Reporting Myofascial Pain Syndrome TPIs
Question: A patient with chronic myofascial pain syndrome presents for trigger poin... Read more