tci E/M Coding Alert - 2023 Issue Q4

Reader Question: Go Canny When Reporting Spinal Manipulation

Question: After a level-four office evaluation and management (E/M) service for an established patient, the provider decides to perform spinal manipulation. How should I report this encounter? Arkansas Subscriber Answer: It depends on whether or not the provider used anesthesia, as there are separate codes for spinal manipulation with/without anesthesia. Go back and check the notes. Then, report one of the following code combos: Anesthesia affirmative: If the provider used anesthesia, report 22505 (Manipulation of spine requiring anesthesia, any region) for the manipulation and 99214 (Office or other outpatient visit for the evaluation and management of an established patient...

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