Neurology & Pain Management Coding Alert
Find IDET Options in CPT and HCPCs
Question: What is the CPT Code for intradiskal electrothermal therapy (IDET)?
Answer: CPT does not include a specific IDET code, so most coders turn to 64999 (Unlisted procedure, nervous system).
Oklahoma Subscriber
If the carrier for which you are billing accepts "S" codes, you can report HCPCS codes S2370 (Intradiskal electrothermal therapy, single interspace) and S2371 (Each additional interspace [list separately in addition to code for primary procedure]) as appropriate.
Many insurers (including Medicare) still consider IDET an experimental procedure. You should include notes supporting medical necessity to help increase your chances of reimbursement. Diagnoses that help justify IDET include 724.2 (Lumbago), 722.73 (Intervertebral disk disorder with myelopathy; lumbar region), 722.10-722.11 (Displacement of thoracic or lumbar intervertebral disc without myelopathy) and 724.3 (Sciatica).
The patient must have pain for three months or longer before he is a candidate for IDET treatments.
Neurology & Pain Management Coding Alert
- If You've Faced Avonex Denials in the Past, Now's the Time to Try Again
Revised CMS guidelines allow you to collect as much as $20 per injection
If you've been [...] - Adjust Your Claims for SNF Patients -- or Lose $ Every Time
You must report the technical component of diagnostic tests to SNFs
When skilled nursing facility (SNF) [...] - You Be The Coder:
Reporting Generalized Weakness
Question: Which ICD-9 code should I use for progressive generalized weakness only?
Alaska Subscriber
Answer: For generalized [...] - Want to Know Which Codes to Report Directly to SNFs? Here They Are
Medicare includes many services in its consolidated billing requirements: Here are the common neurology services [...] - Don't Give Up Payment for Noncovered Procedures
Proper modifiers and a signed ABN can make the difference
If you don't want to get [...] - The ABCs of ABNs
An advance beneficiary notice (ABN) is a written notice to a Medicare beneficiary that Medicare [...] - Reader Question:
Turn to 95923 for Galvanic Skin Potential
Question: What is the proper code to report galvanic skin potential testing?
Pennsylvania Subscriber
Answer: The appropriate [...] - Reader Question:
New and Established Don't Affect Office Consults
Question: A new neurologist in our office saw an established patient who last appeared in [...] - Reader Question:
There's No Need for -50 on Blink Reflex Testing
Question: When we perform orbicularis oculi (blink) reflex by electrodiagnostic testing (95933), should we bill [...] - Reader Question:
Find IDET Options in CPT and HCPCs
Question: What is the CPT Code for intradiskal electrothermal therapy (IDET)?
Oklahoma [...] - Reader Question:
Base Dorsolateral Nerve Block on Injection Type
Question: What is the best CPT code for a dorso-lateral sacral nerve branch block?
Virginia Subscriber [...] - Reader Question:
Avoid Modifier -50 for NCS
Question: May I apply modifier -50 to 95900 for bilateral testing of carpal tunnel syndrome [...] - Reader Question:
Report Fluoroscopic Guidance Once per Session
Question: May I report multiple units of fluoroscopic guidance when administering facet blocks to more [...]
