Neurology & Pain Management Coding Alert
76942 With 76881 or 76882 Should Be Allowed
Question: Our neurologist sometimes performs an ultrasound diagnostic test on the same date of service as an ultrasound guided procedure or ultrasound exam. If we report both services, will the ultrasound procedure or exam be bundled or reimbursed?
California Subscriber
Answer: In this scenario, you’re considering code 76942 (Ultrasonic guidance for needle placement [eg, biopsy, aspiration, injection, localization device], imaging supervision and interpretation) along with either 76881 (Ultrasound, extremity, nonvascular, real-time with image documentation; complete) or 76882 (… limited, anatomic specific).
Current coding edits do not prevent you from reporting these services together, so the ultrasound services should be reimbursed assuming the usual requirements are met (orders, medical necessity, supporting diagnoses, etc.).
Neurology & Pain Management Coding Alert
- Reimbursement:
Follow These 4 Steps to Get Paid for Concurrent Care
Documenting separate diagnoses help all specialists involved. It’s not uncommon for a neurologist or pain [...] - Pain Management:
Check Off 3 Items if You Want to Collect Modifier -25 Pay
Remember Medicare has certain criteria to meet. It’s not unusual for a pain management specialist [...] - News You Can Use:
New Pain Database Can Help Physicians Learn About Current Research
Federal agencies pool their resources for your benefit. Pain management physicians who are interested in [...] - ICD-10:
Don't Miss Your Extra Diagnosis Option for Parkinson's Disease
ICD-10 will let you code with much more specificity. Parkinson’s disease is a progressive disease [...] - Reader Question:
Focus More on Anesthesia Than Procedure for Most Rhizotomy Cases
Question: What are the correct surgical and anesthesia codes for facet rhizotomy? Tennessee Subscriber Answer: Rhizotomy is [...] - Reader Question:
Skip the Modifier With 95912/95886 Claim
Question: I’m new to neurology coding and need some clarification on reporting EMGs. Do I need [...] - Reader Question:
76942 With 76881 or 76882 Should Be Allowed
Question: Our neurologist sometimes performs an ultrasound diagnostic test on the same date of service as [...] - Reader Question:
Test Administrator Is Key to Correct 96118, 96119 Choice
Question: What rules apply to billing 96118 and 96119? I haven’t found many details from CMS [...] - Reader Question:
Yes, You Can Double Count Element for E/M Status
Question: When coding E/M services, can we count the same element twice, for instance, as a [...] - Reader Question:
Just Code Pulse Generator Removal, Not Debridement
Question: Our pain management provider removed two leads and a pulse generator due to the patient’s [...] - You Be the Coder:
The Difference Between Lumbar Sympathetic and Chain Block Coding
Question: I have charts from one of our physicians for two different patients on the same [...]
