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Outpatient Surgery E-Weekly

Contact Congress Over Drug Shortage Issues

A Kentucky congressman is urging surgical facilities to contact their members of Congress and request that they sign his letter demanding changes to...

N.J. Posts ASC Inspection Reports Online

State and federal inspection reports of New Jersey's ASCs are now available online, giving patients an opportunity to make more informed choices abo...

Are Opioids Necessary?

While it's not always practical, or even possible, to eliminate opioids from your post-op pain management regiment, reducing their use in favor of n...

Archive > July, 2006 Vol. VII, No. 7

Coding & Billing

Coding Paravertebral Facet Joint Procedures.

Lisa Weston, CPC-H, LHRM

Physicians use many different techniques to alleviate pain in the small joints located in pairs on the back of the spine, so it's easy to get confused when coding facet injections and facet nerve destructions. Here are three mistakes I see most often during compliance audits:

  • under- or over-reporting additional levels;
  • not billing fluoroscopy use appropriately; and
  • reporting multiple injections for the same level.

This article, and the five-question quiz on the next page, will help clear the confusion.

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Categories: Code/Bill/Reimburse, Pain Management
Keywords:
Anatomy lesson; Test Your Knowledge: How Would You Code These Pain Procedures?; Common coding quandaries; Pain relief; Add-on; Assistant, September; CPT; CPT Assistant, September; Physicians; Report; September; Steroid; add-on; additional; affected; agent; agents; alleviate; anesthetic; anesthetizing; append; appendix; apply; approved; articular; back; bilateral; bilaterally; billing; blocks; book; branch; branches; carrier; case; caused; centers; central; cervical; check; clear; code; coded; coders; codes; coding; compliance; confused; conjunction; consult; depending; destruction; difficult; ... show all keywords
Anatomy lesson; Test Your Knowledge: How Would You Code These Pain Procedures?; Common coding quandaries; Pain relief; Add-on; Assistant, September; CPT; CPT Assistant, September; Physicians; Report; September; Steroid; add-on; additional; affected; agent; agents; alleviate; anesthetic; anesthetizing; append; appendix; apply; approved; articular; back; bilateral; bilaterally; billing; blocks; book; branch; branches; carrier; case; caused; centers; central; cervical; check; clear; code; coded; coders; codes; coding; compliance; confused; conjunction; consult; depending; destruction; difficult; directs; discuss; doctor; dorsal; drug; dual; easy; electrical; end; ensure; equipment; exact; exempt; exemptions; facet; facility; favorable; find; five-question; fluoroscopic; fluoroscopy; frequently; guidance; guideline; heading; inclusive; individual; inflammation; inject; injected; injection; injections; injects; innervated; inserted; inserts; interrupt; irritation; isolate; joined; joint; laterality; left; level; levels; localization; located; lower; lumbar; means; medial; messages; mistakes; modifier; multiple; multiple-level; neck; needle; nerve; nerves; nervous; neurolytic; number; origin; over-reporting; owns; pain; painful; pairs; paravertebral; passage; payers; pays; perform; performed; performs; permanent; physician; placement; points; prevent; procedure; professional; puncture; purpose; quiz; radiofrequency; rami; range; reaching; reduce; refer; reimburse; reimbursement; report; reporting; requested; response; rest; rules; section; seeking; separately; set; side; signals; small; space; specific; spinal; spine; steroid; sticking; supplied; supply; surgical; surrounding; swelling; symptoms; syringe; techniques; therapeutic; third-party; thumb; time; tissue; treating; treatment; turn; underneath; upper; vertebra; vertebral

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