Transforaminals: A revised definition means revised billing procedures

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This premium article discusses a billing change for transforaminal epidural injections and the operational steps practices should review in response. It is aimed at coding, billing, and clinical staff who need to update encounter forms, superbills, and electronic medical record workflows for the new year. The article focuses on general compliance and claims-processing considerations surrounding a specific CPT code and transforaminal procedures.

Why This Topic Matters

It matters because a change in billing practice can affect claims accuracy, denials, and potential overpayment issues if systems and staff are not updated consistently.

What You Will Learn

  • How a billing change affects transforaminal epidural injection claims
  • Why staff education and form review matter when procedures change
  • What system-level checks are needed in billing and EMR workflows
  • How coding and billing processes can be aligned for a new reporting year

Who Should Read This

  • Medical coders
  • Billing staff
  • Practice managers
  • Clinical staff
  • Revenue cycle teams

Codes Discussed


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