Neurology & Pain Management Coding Alert
Reporting 92545 With 92540 Means Denial
Question: My provider documented codes 92540, 92543, 92545, and 92546 for billing. The combination fails when I check it against edits. What needs to change?
Louisiana Subscriber
Answer: CPT® includes the following parenthetical note, “Do not report 92545 in conjunction with 92270, 92540 or the set of 92541, 92542, and 92544.” Bill the service as follows:
Also according to CCI edits, you cannot bill 92545 (Oscillating tracking test, with recording) with 92540 in any circumstances. Including 92545 could be why your check is failing.
Neurology & Pain Management Coding Alert
- Drug Screenings:
2015 Lab Section Overhaul Means Changes to Your Drug Test Coding
Get the scoop on new code choices from CPT® and HCPCS. Drug test codes undergo [...] - Lab Modifiers:
Here's Your Refresher on Modifier QW Usage
Be aware of how it can affect your reimbursement. Modifier QW (CLIA waived test) is [...] - ICD-10:
Prepare Now for Different Reporting Tactics for Sleep Apnea
Heads up: You'll need multiple codes to help specify the type of apnea. Coding for [...] - Reader Question:
List Neurological Condition Diagnosis Before Suspected Problem
Question: My neurologist saw a patient in the ICU for delirium associated with acute VFIB. Do [...] - Reader Question:
Remember Modifier 26 for Hospital EEG Reading
Question: I just received a denial from Medicare stating that the EEG reading is inclusive and [...] - Reader Question:
Verify That Modifier 59 Is Still the Best Choice
Question: Our pain management specialist frequently performs arthrocentesis with a Depo-Medrol injection and aspiration during the [...] - Reader Question:
Append Modifier 52 for Pain Pump Revision
Question: Programmable infusion pump codes are for implantation/replacement or removal. Our physician replaced the patient’s implanted [...] - Reader Question:
Reporting 92545 With 92540 Means Denial
Question: My provider documented codes 92540, 92543, 92545, and 92546 for billing. The combination fails when [...] - Reader Question:
Pay Attention to Guidance Choices With New Joint Injection Codes
Question: The new joint injections codes 20604, 20606, and 20611 specify an injection with ultrasound guidance. [...] - Reader Question:
Set Your Own Fee for J3030
Question: Our neurologist wants to begin administering Imitrex injections (code J3030). I haven’t been able to [...] - You Be the Coder:
Billing 77003 With 62310-62319 in 2015
Question: I have read that Medicare increased the fee schedule for 2015 so that imaging guidance [...]
