decisionhealth Newsletters, Answer Books - 2009 Issue 2 (February)
Appendix A - Glossary / Sympathetic Nerve Blocks and Nerve Destruction / CPT says to bill fluoroscopic guidance but CCI says not to
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Article Overview
This premium article covers a CPT and CCI comparison affecting sympathetic nerve block and nerve destruction claims. It is aimed at coders, billers, and compliance staff who need to understand the general nature of the guidance conflict, the organizations involved, and the presence of bundling edits and modifier use discussed by the article.
Why This Topic Matters
It helps readers determine whether they need the full article to review the coding policy conflict, payer-edit impact, and compliance considerations associated with reporting fluoroscopic guidance alongside certain interventional pain procedures.
What You Will Learn
- The general issue addressed by the article involving procedural reporting and imaging guidance.
- How the article frames the difference between CPT-related guidance and Medicare CCI edits.
- The types of payer and compliance considerations mentioned in connection with these procedures.
- The broad role of modifier use in the context of bundled imaging guidance edits.
Who Should Read This
- Medical coders
- Medical billers
- Compliance staff
- Interventional pain practice staff
- Revenue cycle personnel
Codes Discussed
Modifiers Discussed
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