tci Part B Insider - 2004 Issue 41

Injections: Contrast Study Is The Key To Myelography

At least one carrier is cracking down on improper myelography billing You should pay attention to your carrier's hit list if you want to avoid being number one with a bullet. Part B carrier NHIC published a list of "recently found documentation problems" in its latest bulletin, and they include some major mistakes. For example, some physicians are performing epidural, facet joint and sacroiliac injections along with fluoroscopic guidance. But they're billing for myelography codes 72265 and 62284. Myelography involves using fluoroscopic guidance, but this  is only part of the diagnostic   procedure. True myelography involves a...

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