Anesthesia Coding Alert

Stay on Track With ESIs

Keep these questions in mind to be sure you've covered all of your spinal injection coding bases:

 

  • Does your group (or the patient's carrier) require a referral for these treatments? If so, do you have documentation of the referral?
     
  • Does the patient's diagnosis support medical necessity for the injection?
     
  • Did the physician administer multiple injections? If so, were they to different areas (such as lumbar and cervical) that you can code separately?
     
  • Did the physician use fluoroscopic guidance that can be separately coded?
     
  • Did you bill for the injection medication?
     
  • Did the physician perform other procedures during the visit? If so, do these qualify for separate billing?
     
  • Did you code the visit correctly, based on whether it was the patient's first visit or a follow-up injection?

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