tci ED Coding & Reimbursement Alert - 2010 Issue 5

Reader Questions: Note Injection Differences to Shoot Straight on Intervention Coding

Question: A female patient with a history of menstrual migraines presents with an onset of neurological symptoms indicating another migraine; she rates the pain a 9 on a 10-point scale. After attempting to stop the migraine with oral pain medication, the physician injects the patient with 6 mg of Imitrex and 1 unit of Compazine. Notes indicate a level-four E/M service. I reported 96372 x 2 and received a denial. I don't get it; we've gotten paid for patients that the physician treats with trigger point injections (TPIs) in the past: how is this different?New York SubscriberAnswer: Your...

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