tci Outpatient Facility Coding Alert - 2014 Issue 6

Procedure Focus: Answer 3 Questions to Get a Clear Snapshot for 20526

Evidence of previous treatments are a part of successful CTS injection claims. When coding for carpal tunnel syndrome (CTS) injections,  you’ll need to know whether the patient has had any less invasive CTS treatments earlier. Reason: Some payers allow CTS injection therapy only when other treatments have failed. Hence there are chances that you could face a denial if a CTS injection is given at the first visit. Make each CTS coding scenario a clear snap shot by posing the following questions: 1. Should the Physician Try Other Treatments Before 20526? Yes, the physician should try other...

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