Neurology & Pain Management Coding Alert
Blink Test Diagnosis Depends on Perceived Problem
Question: What diagnoses can we use to support medical necessity for a blink test? Arizona Subscriber Answer: The reason for ordering the test should support its necessity. For example, a blink reflex test (95933, Orbicularis oculi (blink) reflex, by electrodiagnostic testing) evaluates brainstem function and nerve activity in the head and neck. Blink tests can detect conditions affecting the fifth and seventh cranial nerves and brainstem lesions or tumors pressing on the nerves. Possible diagnoses leading to a blink test could include acoustic neuroma (225.1. Benign neoplasm of brain and other parts of nervous system; cranial nerves), hereditary sensory neuropathy (356.2), facial nerve palsy (351.1 Bell's palsy), or others.
Neurology & Pain Management Coding Alert
- Diagnosis Coding:
Focus on 3 Questions When Coding Frequent Falls
Double check notes before falling for easy answers.The neurologist wrote "frequent falls" on a patient's [...] - Help Your Patients Avoid Falls
The Joint Commission (the accrediting agency formerly known as JCAHO), launched a falls prevention education [...] - Pain Management:
Levels Outweigh Frequency When Coding Interlaminar Epidural Injections
Tip: Yes, you can code separately for fluoro guidance.Neurologists and pain management specialists frequently perform [...] - Reimbursement:
Timely Filing Keeps Payments Coming In
With the Medicare deadline cut from three years to one, using a chart can help.As [...] - You Be the Coder:
Make the Choice for Visual Field Tests
Question: Can you tell me which codes we should choose from for visual evaluations and [...] - Reader Questions:
Blink Test Diagnosis Depends on Perceived Problem
Question:What diagnoses can we use to support medical necessity for a blink test? Arizona Subscriber [...] - Reader Questions:
Watch Bilaterals and Limits on 20550 With 64450
Question:Medicare denies our claims with codes CPT 20550 and 64450, stating that the [...] - Reader Questions:
Navigate Modifiers for Tricky EMG Coding
Question:We have a claim calling for 95860 (once), 95903 (twice), and 95904 (four times). I [...] - Reader Questions:
95951 Versus 95956 Hinges on Video
Question:What is the difference between the two EEG codes 95951 and 95956? Texas Subscriber Answer:The [...] - Reader Questions:
Look to 64400 for Supraorbital Injection
Question:What procedure code applies to a supraorbital nerve injection? Washington Subscriber Answer:Code the procedure as [...] - Reader Questions:
Count Electrodes for Stimulator Implants
Question:What code should we submit for trial stimulator implantation? Should we bill for only the [...] - Reader Questions:
Get the Scoop on Billing Before Credentialing
Question:Our practice has a new physician coming on board to replace a retiring doctor. When [...]
