Lori Posted Wed 23rd of October, 2013 12:33:45 PM
Does hardware injection have an actual code yet? I bill the 64999 with the chart notes and then appeal with letter explaining the procedure. I currently have an insurance that denied the appeal and is requesting a different cpt code for a claim correction.
Part of the letter explaining the procedure "spinal fusion hardware inflaming the surrounding area causing the patient’s pain level to be a 6/10. The provider injected Celestone an anti-inflammatory medication around the distal screws of the C1-2 level hardware fusion."
The provider is not injecting the epidural space or the nerves but the space surrounding the distal screws
SuperCoder Answered Wed 23rd of October, 2013 19:03:24 PM
They might be looking for the injection code, CPT code '96372' and HCPCS code for substance is 'J0702'.