New coding guidance: CMS will cover new nerve block and destruction codes, payers may follow

Why This Topic Matters

These proposed code changes affect how pain-management services are identified, tracked, and reimbursed across Medicare and commercial payers. Understanding the scope of the update helps practices prepare for new reporting patterns and coverage changes when the codes take effect.

Article Sections

1. Overview of upcoming CPT changes

   Introduces the new procedure codes and the general areas of clinical service they address. Summarizes why the update is significant for pain-management coding and reimbursement.

2. Genicular nerve procedures and proposed Medicare values

   Describes the previewed genicular nerve entries included in the proposed Medicare physician fee schedule. Notes the relationship between the new CPT provisions and existing guidance referenced in the article.

3. Questions raised by the new terminology

   Discusses the open questions that remain until the 2020 CPT manual is released. Focuses on how the wording may affect reporting interpretation.

4. Sacroiliac joint nerve block and ablation codes

   Covers the previewed sacroiliac joint nerve procedures and their proposed payment context. Explains that the article raises similar terminology concerns for these services.

5. Coverage implications for Medicare and private payers

   Reviews how Medicare coverage could influence commercial payer policies. Mentions payer categories and the broader reimbursement outlook for the services discussed.

6. Resources

   Lists the cited CMS materials associated with the proposed 2020 Medicare physician fee schedule.