October 2015 page 9a
Surgery: Nervous System
Question: Code 64412, Injection, anesthetic agent; spinal accessory nerve, will be deleted from the Current Procedural Terminology (CPT®) 2016 code set. What code will be used to report this service?
Answer: Effective January 1, 2016, code 64999, Unlisted procedure, nervous system, should be reported for an injection of an anesthetic agent into a spinal accessory nerve, as code 64412 has been deleted from the code set. When reporting an unlisted code to describe a procedure or service, it is necessary to submit supporting documentation (eg, a procedure report) along with the...
Note: The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.
Article Overview
This article provides a brief CPT nervous system coding update focused on a deleted service code and the replacement reporting approach effective in 2016. It is relevant to professional coders, billing staff, and compliance teams who need to track code set changes and understand the documentation expectations associated with unlisted procedure reporting. The piece is a short question-and-answer format that highlights a code set change, related reporting guidance, and the need for supporting records.
Why This Topic Matters
Coding updates that remove or replace services can affect claim accuracy, workflow, and documentation readiness. This article helps readers identify a code change in the nervous system section of CPT and recognize that additional documentation is expected when reporting the remaining unlisted option.
Article Sections
October 2015 page 9a
A short introductory section identifying the publication timing and topic area for the coding update.
Surgery: Nervous System
A question-and-answer discussion centered on a nervous system CPT update and the reporting approach associated with the change.
What You Will Learn
How a nervous system CPT code update is presented in a Q&A format
What types of documentation are associated with reporting an unlisted procedure code
How article content tracks a code set change effective in 2016
How to recognize when a premium coding update addresses reporting after a code deletion
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