Neurology & Pain Management Coding Alert
Sacroiliac Joint Injections
Hawaii Subscriber
Answer: Reimbursement for 27096 (injection procedure for sacroiliac joint, arthrography and/or anesthetic/steroid) varies. For example, in some states Medicares RVU for this procedure in the hospital is 1.55 but in the office setting it is 11. In Utah, the Medicare allowable for 27096 in a facility is $73.33 and the allowable in the office is $446.33. To find out what is an appropriate charge, you need to contact your local Medicare carrier and your top-five third-party payers and find out what their reimbursement is. You can then use those amounts as a guide.
Neurology & Pain Management Coding Alert
- Time and Documentation Play Major Roles in Payment for Prolonged Services
Prolonged services codes (99354-99359) are a good option when seeking reimbursement for significant extra time [...] - Fight Reductions and Denials For EMGs
When billing electromyograms (EMGs) (95860-95870) make it clear to carriers through detailed documentation that the [...] - You Be the Coder:
Billing for an E/M with a Nerve Conduction Study
Question: If a new patient presents for a nerve conduction study and the neurologist does [...] - News Brief:
CCI 7.1 Neurology Update
Effective April 1, muscle testing codes 95831-95834 and range-of-motion measurement codes 95851-95852 are components of [...] - Reader Question:
Cross-Coverage
Question: My physician shares coverage with another neurologist. When he is on call and sees [...] - Reader Question:
Billing for a Broken Appointment
Question: Is there any way to bill the patient or insurance carrier for a broken [...] - Reader Question:
Negotiate with Hospitals
Question: A neurologist performs a nerve conduction study on a patient in the hospital as [...] - Reader Question:
After-hours Codes
Question: How do I get paid for after-hours visits?
Illinois Subscriber
Answer: Unfortunately, payment for 99050-99054 [...] - Reader Question:
Sacroiliac Joint Injections
Question: I need help with developing a charge for 27096. Our neurologist believes that our [...] - Reader Question:
t-PA Administration
Question: I recently learned that Medicare does not cover 37195 for IV t-PA administration for [...] - Reader Question:
Injection Bundled into E/M Visit
Question: I spend a lot of time appealing denials for payment of 90782 when billed [...] - Reader Question:
Hospital Discharge Codes
Question: A neurologist visited a patient in follow-up care and we billed 99231. Before midnight, [...]
