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NP coding

Lindye Posted Fri 21st of March, 2014 11:20:27 AM

If a physician refers a patient to us for a specific pain management injection, and we do initial ov and injection, are we allowed to bill for the initial ov? Even if all diagnosis fall into same area? For instance, lumbar radiculopathy, lumbar hnp, lumbar facet arthropathy, and say we did visit plus les(62311). Thanks

SuperCoder Answered Fri 21st of March, 2014 18:13:06 PM

An epidural steroid block (62311) has zero global days, so it can be billed as a separate procedure along with the appropriate-level consultation or outpatient visit code. The E/M code should be appended with modifier -25 (significant, separately identifiable E/M service by the same physician on the same day of the procedure or other service) to indicate the E/M was separate from the block.

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