Anesthesia Coding Alert
Confirm Modifiers for 76005 in Surgical Facility
Texas Subscriber
Answer: Include modifiers TC (Technical component) and SG (Ambulatory surgical center [ASC] facility service) if you submit claims for the facility.
Medicare does not pay for some radiology procedures when physicians perform the service in an ASC. Your carrier's ASC-approved list may not include codes 76005 (Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures [epidural, transforaminal epidural, subarachnoid, paravertebral facet joint, paravertebral facet joint nerve or sacroiliac joint], including neurolytic agent destruction) and 72275 (Epidurography, radiological supervision and interpretation).
Another problem could arise if the physician performs the fluoroscopy and epidurography during the same session. CPT includes a note stating 72275 includes 76005, so you shouldn't submit both codes.
Anesthesia Coding Alert
- Team Techniques:
There's More to Coding Retrobulbar Blocks Than Meets the Eye
Check these 3 areas before coding your next claim Performing eye surgery can be quick [...] - Pain Management Corner:
Know Your Levels to Code Post-Op Consults Correctly
Follow this guide to help assign the correct code The surgeon's global fee for procedures [...] - You Be the Coder:
Physician Handoff During L&D
Question: Two of our anesthesiologists participated in a labor and delivery case. Dr. A administered [...] - Modifier Heads-Up:
There Are New Rules for Reporting Modifier 25: Here's What You Need to Know
CMS clarifies when -- and how -- to use it
New guidelines regarding modifier 25 went [...] - Consult Checklist
Before you can code any type of consult, your physician must document the four R's [...] - Reader Questions:
Confirm Modifiers for 76005 in Surgical Facility
Question: What modifiers should I report with 76005 and 72275 in a surgical facility? Medicare [...] - Reader Questions:
Verify Details Before Coding Labial Repair
Question: Which surgical and anesthesia codes apply to labial repair (labial minora hypertrophy)?
Missouri Subscriber
Answer: [...] - Reader Questions:
Clarify 'Periodic Monitoring' With Carrier
Question: How does Medicare define "periodic monitoring" on medical-direction cases?
Connecticut Subscriber
Answer: Many coders believe [...] - Reader Questions:
Remember 51 or 59 for Multilevel Injection
Question: Our physician administered a three-level lumbar injection for pain management. Which modifiers should I [...] - Reader Questions:
64470, 64472 Apply to Medial Branch Facet Block
Question: Our physician administered a facet block via the patient's medial branch nerves, above and [...] - Reader Questions:
Tracheal Puncture Outweighs Esophagoscopy
Question: What should I report for an esophagoscopy and placement of a tracheal esophageal puncture? [...]
