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Neurology & Pain Management Coding Alert

ICD-10 Coding:
Look Back for These Details on Intervertebral Disc Dx
If the provider documented Schmorl's nodes, it will affect ICD-10 coding. Coders that com... Read more
Keep Base Code Knowledge Sharp on EP Study Claims
Here's why you need to know latency length for some code selection. When your provider pe... Read more
Case Study Corner:
Crack This Chemodenervation Clinical Scenario
Use the scenario details to arrive at an answer. In your practice, it's highly likely you... Read more
Reader Question:
Go for Single-Code Option on CT Guidance/Epidural
Question: Notes indicate that the provider performed an interlaminar lumbar epidural injec... Read more
Reader Question:
Some Office E/M Rules Don't Apply to ED E/Ms
Question: Our PM specialist was called to the ED to see an established patient for an eval... Read more
Reader Question:
Cross CRNAs Off LT List
Question:  Can we code a certified registered nurse anesthetist's (CRNA) service with... Read more
Reader Question:
Observe This Privacy Rule for Deceased Patients
Question: Per the Health Insurance Portability and Accountability Act (HIPAA), should we m... Read more
You Be the Coder:
Autonomic Nerve Injections
Question: Notes indicate that the PM physician performed a single autonomic nerve injectio... Read more
CPT® Coding:
Check Out Individual Policies on Face/Neck Chemodenervation
Payer matters when it comes to diagnoses for these injections. Coders have a potential pr... Read more
ICD-10 Coding:
Many Payers Put Out Their Own Chemodenervation Dx Code Lists
Know every payer's policy on paying 64612-64617. Getting to the correct diagnosis code fo... Read more
2019 MPFS:
Prep Now for Potential E/M Changes
If implemented, these new CMS-proposed rules will affect your practice. When it comes to ... Read more
Keep on the Right Track With Adhesiolysis Coding Smarts
Here's why you shouldn't report 62263 in conjunction with 62264. Coders aiming to file cl... Read more
Reader Question:
Follow These Px Email Rules
Question: How do we document email exchanges between a patient and our provider or nonphys... Read more
Reader Question:
Ensure ABN Success With These G Modifiers
Question: I'm filing a claim that includes an advance beneficiary notice (ABN) for a Medic... Read more
You Be the Coder:
ICD-10's 2019 Hurricane-Related Dx Codes
Question: Are there any 2019 ICD-10 codes we should be using that pertain to patients that... Read more
Keep an Eye on Notes for Sure-Shot Epidural Injection Coding
Reminder: Cervical/thoracic, lumbar/sacral shots have separate codes. PM coders that file... Read more
News You Can Use:
Medicare Carrier Loosening Some NPP E/M Rules
NGS will allow NPPs to code same-day E/Ms under certain circumstances. If you've heard of... Read more
E/M Coding:
I.D. Provider Type, Then Select Prolonged Services Code
When coding these services, the performing provider matters. Evaluation and management (E... Read more
Reader Question:
Study Spinal Region When Choosing Radiculopathy Dx
  Question: If the neurologist documents lumbosacral radiculopathy, how should ... Read more
Reader Question:
Decipher These Meningeal, Spinal Cord Tumor ICD-10 Options
Question: How do I report malignant meningeal and spinal cord tumors? North Carolina... Read more
Reader Question:
Be Careful With Timed EEG Codes
Question: Notes indicate that the PM physician performed an extended electroencephalo... Read more
Reader Question:
Treat TTS Different Than CTS
Question: A new coder in our department told us that her previous practice treated pa... Read more
Reader Question:
Turn Negative ROS Coding Into a Positive
Question: Can we count a “complete” ROS when the provider includes a statement su... Read more
Reader Question:
Keep Your Finger on Digital Neuroplasty Code
Question: I'm new to PM coding and I've been trying to get up to speed on the CPT® c... Read more
Reader Question:
Get to the Heart of Cerebral Circulation Definition
Question: What are the key components of cerebral circulation? Georgia Subscriber Answer... Read more
You Be the Coder:
Arthrocentesis Coding With Depo-Medrol
Question: A patient with a diagnosis of post-traumatic right knee osteoarthritis reports t... Read more
News You Can Use:
Medicare Announces Conversion Rate, E/M Guideline Proposals
CMS suggestions include potential ‘leveling' of E/M payments. As it does every summer, ... Read more
Clonic Hemifacial Spasm, CI, T Codes Highlight 2019 Updates
Follow these Dx coding changes starting October 1. CMS recently published its list of the... Read more
E/M Coding:
Use 99211 Properly to Optimize Staff Efficiency, Profitability
Know when you can report 99211 without physician present. If you understand how to use it... Read more
Reader Question:
Look for Liquid on Effusion Patients
Question: Our PM specialist performed a level-three evaluation and management (E/M) servic... Read more
Reader Question:
Code CT With Contrast After Checking Sequence
Question: Notes indicate that the PM specialist performed a computed tomography (CT) scan ... Read more
You Be the Coder:
Document Underlying Cause for Kyphosis
Question: The neurologist documented kyphosis in a patient who had undergone a laminectomy... Read more
ICD-10-CM Update:
Check for Expanded Myalgia, Muscular Dystrophy Sets in 2019
If you wait until January to use new Dx codes, you'll be late. Coders in medical practice... Read more
Refer to This FAQ for Bullseye MRI Coding
Here's when your provider might use contrast material during an MRI. Sometimes, coding a ... Read more
End E/M Coding Confusion With Payer Advice
Novitas offers up tips on confusing E/M topics. Coding for evaluation and management (E/M... Read more
E/M Coding:
Use this Advice, Put Subsequent Care Concerns to Rest
Here's how the experts evaluate and manage service level determinations. When a provider ... Read more
Reader Question:
Get Specific for Ankle Pain Dx
Question: A patient reported to our practice complaining of pain in the right ankle region... Read more
Reader Question:
Pick Carefully on TMJ Disorder Dx
Question: How should I report a diagnosis of temporomandibular joint (TMJ) disorder? Ariz... Read more
Reader Question:
Get Mixed CP Dx Right
Question: Which diagnosis code would you report for mixed cerebral palsy? Idaho Subscribe... Read more
You Be the Coder:
Separate ICD-10 Choices for Certain Cerebral Aneurysms
Question: Can you explain which ICD-10 codes we would go to when reporting nonruptured and... Read more
Spot EDX Tests for Maximum Payout
Here's why date of service might matter for EDX eligibility. Whenever you spot a claim th... Read more
Dodge Medical Necessity Errors With CERT Smarts
Errors often emerge when treating back, neck issues in patients. Coders concerned with pr... Read more
Avoid These Common 24/25 Myths to Max Out Claims
Here's why you need to know global periods when considering 24, 25. A coding myth can kil... Read more
Reader Question:
Keep It Turned to 7 on Crush Injury Dx
Question: An established patient with an injured forearm reports to the PM specialist. The... Read more
Reader Question:
Include Fracture History on Osteoporosis Patients
Question: The PM specialist treated a patient with osteoporosis. The patient doesn't have ... Read more
Reader Question:
Spondylopathy Dx Could Include 'Other' Classification
Question: The PM specialist performs a level-two evaluation and management (E/M) service f... Read more
You Be the Coder:
Coding Sequential, Concurrent IV Infusions
Question: What is the difference between an additional sequential intravenous (IV) infusio... Read more
Take Levels into Account on Facet Joint Injections
Here's how these encounters might involve multiple codes. Coders in the know are well awa... Read more
Clip and Save:
These Diagnoses Might Mean Facet Joint Injection
Payer policies will differ for these services. When a patient reports to the PM specialis... Read more
Listen Up: These Stereotactic Coding Missteps Could Cost You
Remember the differences between 61790, 61791. When your neurologist uses a three-dimensi... Read more
ICD-10 Coding:
Keep Stomach Pain Coding on Point with these Tips
Intricacies of these diagnoses can get tricky. In order to select the appropriate ICD-10 ... Read more
Reader Question:
Use these Dx Codes for Knee-Related RA
Question: I have encounter notes in front of me that indicate the provider treated a patie... Read more
You Be the Coder:
Dx Coding for Post-Laminectomy Pain
Question: The provider consulted a patient two weeks after a cervical laminectomy for spin... Read more
CCI Edits:
April Puts Spotlight on CCI Bundle Switches
New edits in effect for care management, prolonged services codes. The latest version of ... Read more
Rely on Patient Status for Accurate Sequela Coding
Here's why determining the principal diagnosis is key to sequela selection. Neurology and... Read more
Bolster ABN Knowledge with this FAQ
When Medicare might not pay, get an ABN, experts recommend. Neurology and PM practices th... Read more
Reader Question:
Use NPI to Help with Part A/B Decision
Question: The hospital admitted a Medicare patient three days ago, and she underwent emerg... Read more
You Be the Coder:
Ablation Codes for Multiple Destructions
Question: If a patient reports to the provider for scheduled spinal radiofrequency (RF) ab... Read more
You Be the Coder:
Take this Primer to Heart on E/M Specs
Question: As a new coder, I am still a little confused by the times listed in the descript... Read more
Focus on Anatomy When Choosing Nerve Block Code
Providers often use TN blocks for lower jaw pain. Choosing the proper code when your phys... Read more
Payer Preference Drives Coding for Services Within Global Period
Remember, not all payers will follow Medicare. If you're coding for a Medicare patient, t... Read more
E/M Coding:
Heed This Advice for Accurate Consult Coding
Some, but not all, payers will accept CPT® consult codes. When the physician performs a ... Read more
Reader Question:
Remember to Separate Extremities, Muscles on Chemodenervation
Question: The physician performed a level-three evaluation and management (E/M) service fo... Read more
Reader Question:
Go All the Way on Right-Sided Dx Coding
Question: The physician saw a new patient with a complaint of right-sided extremity pain; ... Read more
You Be the Coder:
Reporting Joint Aspiration/Injections
Question: Encounter notes indicate that the physician performed a knee aspiration and a kn... Read more
Transitional Care:
Dodge TCM Pitfalls with these Tips
Mark 30 days before employing 99495, 99496. Without proper coding knowledge, reporting tr... Read more
Terminology 101:
Hit Pay Dirt with this Migraine Coding Advice
Knowledge of 'aura' can demystify Dx code choice. Since ICD-10 came along with its greate... Read more
Terminology 101, Session 2:
Migraine Dx Coding Strength Depends on these Terms
Here's the term that describes a migraine that won't go away. The ICD-10 manual includes ... Read more
Reader Question:
Ask Questions for More Evoked Potentials Detail
Question: Notes indicate the PM physician performed an evoked potentials test. It was a sh... Read more
Reader Question:
Dig for Info on Nerve Block Delivery Method
Question: After performing a level-four new patient evaluation and management (E/M) servic... Read more
Reader Question:
Assessment Coding Depends on What Provider Assesses
Question: Can you explain the difference between 96127 and 96110 assessment codes for chil... Read more
Reader Question:
Solve PFSH Level Issues with this Guidance
Question: Can you give me an example of pertinent past, family, and social history (PFSH) ... Read more
You Be the Coder:
Coding Ab Pain Diagnosis
Question: What is the correct ICD-10 code for upper-quadrant abdominal pain? Arizona Subs... Read more
Injection Coding:
Sure-Shot TPI Coding Often Depends on Dx Work
Stay sharp, since there's no definitive list of TPI diagnoses. Patients that require trig... Read more
CPT® Coding:
Look to these Examples to Gauge Myelography Coding Acumen
Real-world coding scenarios can help you master myelographies. Instructional learning wit... Read more
Check Lesion Removals Against CCI Edits
Adhere to CCI to stay compliant with CMS guidelines. Your provider might, on occasion, re... Read more
Reader Question:
Get Familiar with 2018 CMS Telehealth Changes
Question: Can you tell me if there's anything new going on in telehealth coding for 2018? ... Read more
Reader Question:
Make Metatarsalgia Dx a Matter of Laterality
Question: What are the ICD-10 options for reporting metatarsalgia? Alabama Subscriber An... Read more
Reader Question:
Look for Physician Presence Before Coding for APNs
Question: We have two house-call teams of advanced practice nurses (APNs) who go to patien... Read more
You Be the Coder:
Coding for Interlaminar Epidural Blocks
Question: A patient received an interlaminar epidural block of the lumbar spine with fluor... Read more
E/M Coding:
Account for Updated Language on Observation Codes
CPT® clears up outpatient confusion on 99217-99220. Observation services coding can get ... Read more
E/M Coding:
Reserve these E/Ms for 'Middle-Day' Observation Coding
For subsequent observation days, use 99224-99226. On occasion, your neurologist could kee... Read more
Familiarize Yourself with CCI Sequential Procedures Policy
Rely on operative report and diagnoses to determine coding process. Those with a firm gra... Read more
Reader Question:
Know Your RAC, Keep from Wracking Your Brain
Question: I've been doing some reading about recovery audit contractors (RACs), and frankl... Read more
Reader Question:
Elude Catch 22 with Documentation for Modifier 22 Claims
Question: We submitted a claim with modifier 22 (Increased procedural services) because th... Read more
Reader Question:
Remember, Modifier 57 Is a 'Major' Decision
Question: When are you supposed to report modifier 57? Is it a modifier for evaluation and... Read more
Reader Question:
Use Clues to Decipher CCI Modifier Indicator 1
Question: I was looking up Correct Coding Initiative (CCI) edits for 99221 and 99212, and ... Read more
Reader Question:
Feds Can Help with IT Training
Question: I am the head of the coding department at a practice that has been under the sam... Read more
You Be the Coder:
Keep on Top of Occipital Nerve Block Codes
Question: Our provider administered a block near the skull base to treat occipital nerve p... Read more