tci Part B Insider - 2003 Issue 15

Codes Not Added

Even while industry reps complain Medicare coverage means less money in some instances, they also criticize Medicare for being slow to add services to the list.  Medicare wrongly kept half a dozen important codes off the ASC-covered list, according to the American Society of Interventional Pain Physicians. These include 27093 (hip injection), 27096 (SI joint injection), CPT 62290 (injection procedure for discography, each level; lumbar), 62291 (... cervical or thoracic), 62264 (lysis of epidural adhesions - one day) and 0027T (endoscopic epidural edhesiolysis). CMS considered adding several codes to the ASC list in its 1998 proposed rule...

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