Neurology & Pain Management Coding Alert
Don't Count on Cash for Educational Materials
Question: Is there a way we can offset the cost of educational materials, pamphlets, etc., that we provide to patients and payers?
Maryland Subscriber
Answer: CPT does contain a code for educational materials: 99071 (Educational supplies, such as books, tapes and pamphlets, provided by the physician for the patient's education at cost to physician). You might check with your payers to see if they will reimburse you for the cost of educational materials using 99071. But, don't be surprised if most payers decline.
As an alternative, you could ask payers to have their beneficiaries cover the cost of educational materials directly. Note that this is not permissible for Medicare beneficiaries.
Keep in mind, however, that it may be worth your while to cover the cost of such materials yourself - if it cuts down on the number of follow-up calls and other unbillable activities you are forced to handle.
Neurology & Pain Management Coding Alert
- More Than 2 Dozen Changes Slotted for Sleep Disturbance Diagnoses in 2006
ICD-9 brings you detailed codes to describe insomnia, apnea and more If you've had trouble [...] - The AMA Weighs in on Less-Than-24-Hour EEG
Anything under 12 hours calls for 95951-52 The AMA now says that if you are [...] - Clip and Save:
Keep the New Sleep Disorder Codes at Your Fingertips
Here's a convenient list of all the new-for-2006 sleep disorder diagnoses. You can use this [...] - Don't Wait Any Longer to Master Revised Stroke Diagnoses
Turn to the 438.xx series if the neurologist is managing late effects of stroke You [...] - You Be the Coder:
Is Guidance Included in Chemodenervation?
Questions: Recently, I submitted a claim to Medicare for chemodenervation injection (64614) with needle EMG [...] - CMS Changes 'Incident-To' Guidelines - Again
Assume that ordering and supervising physician must be the same person Neurology practices that have [...] - Coding Briefs:
Note New Dx, Revised Fee Schedule for the Months Ahead
For all you busy neurology practices trying to keep up with the latest coding facts, [...] - Coding Quick Update:
Time to Call on CPT for Medicare PET Scans
You can finally ditch the HCPCS G codes when reporting positron emission tomography (PET) scans [...] - Reader Questions:
Avonex Injections Are Reimbursable for MS
Question: I've heard conflicting information on Avonex when used to treat MS. Will insurers reimburse [...] - Reader Questions:
Ease a Headache With Botox Code 64612
Question: My neurologist injected 50 units of Botox around the forehead and scalp for a [...] - Reader Questions:
Supply Costs Included in EMG Codes
Question: Can we bill separately for supplies in addition to the standard CPT codes when [...] - Reader Questions:
Leg Weakness Leads to General Codes
Question: What is the appropriate diagnosis code for "leg weakness"?
Kansas Subscriber
Answer: You'll find few [...] - Reader Questions:
There's No Modifier for Incident-To
Question: Should I use a modifier when reporting services provided "incident-to" the neurologist's care?
Utah Subscriber
Answer: [...] - Reader Questions:
Don't Count on Cash for Educational Materials
Question: Is there a way we can offset the cost of educational materials, pamphlets, etc., [...] - Reader Questions:
Payers Might Request 95951 Documentation
Question: We recently submitted a claim for 95951. Our billing service states that they cannot [...]
