Neurology & Pain Management Coding Alert

Clarification:

CCI Edits Apply to Single MD During Procedure

PM/Anesthesia teams aren't affected by bundles. The latest edits from the Correct Coding Initiative (CCI 16.3) state that coders cannot report anesthesia with new Category III transforaminal epidural injections. This information, reported in "New 0228T-0230T Codes Already Appear in CCI Edits" (Anesthesia Coding Alert Vol. 12, Number 10), holds true for single-provider encounters. Your coding can change, however, when the procedure involves two providers. The codes affected by the bundles include 01991 (Anesthesia for diagnostic or therapeutic nerve blocks and injections [when block or injection is performed by a different provider]; other than the prone position) and 01992 (... prone position) when paired with new transforaminal epidural injections: 0228T -- Injection(s), anesthetic agent and/or steroid, transforaminal epidural, with ultrasound guidance, cervical or thoracic; single level 0229T -- ... each additional level (List separately in addition to code for primary procedure) 0230T -- Injection(s), anesthetic agent and/or steroid, transforaminal epidural, with ultrasound guidance, [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

Neurology & Pain Management Coding Alert

View All