decisionhealth Newsletters, Coder Pink Sheets - 2009 Issue 9 (September)
New facet codes would include fluoro guidance as required component
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Article Overview
This article covers upcoming and existing coding guidance for facet joint and epidural injection services, focusing on how imaging guidance is being handled by CMS, NCCI, and the AMA CPT code set. It is aimed at coding professionals, pain management practices, and reimbursement staff who need to track changes in bundling, code replacement, and new Category III additions. The article also discusses the timing of code changes and the broader shift toward imaging being included in the procedure codes themselves.
Why This Topic Matters
The topic matters because changes in bundled services can affect how spinal injection procedures are reported and reimbursed. Readers need to understand which guidance services are being incorporated into procedure codes and where new code sets or revisions may change reporting practices.
Article Sections
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Current and pending fluoroscopic guidance bundling
This section discusses existing and upcoming bundling changes involving imaging guidance for spinal injection procedures. It references CMS, NCCI, and related CPT code set updates.
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Looking ahead to 2011
This section addresses anticipated future changes to epidural injection coding and the possibility of additional imaging-related bundling in later CPT updates.
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New Category III codes bundle ultrasound services with facets
This section covers newly listed AMA Category III codes and the broader inclusion of ultrasound guidance with facet joint injection services.
What You Will Learn
- How imaging guidance changes are being handled for spinal injection coding
- Which organizations are referenced in connection with code edits and updates
- What types of code-set changes are discussed for future reporting periods
- How new Category III additions relate to imaging services for facet procedures
Who Should Read This
- Medical coders
- Pain management billing staff
- Physician practices
- Compliance staff
- Reimbursement analysts
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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