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Neurology & Pain Management Coding Alert

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
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
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
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
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
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
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
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
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
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
Prep Now for New Quality Reporting Measures
Goodbye, PQRS. Hello, MIPS! If you think that the end of the Physician Quality Reporting ... Read more
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
Anatomy Is Key in Cerebral Embolism
Confirm symptoms to locate site of occlusion; check laterality before you select a code. ... Read more
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
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
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