Neurology & Pain Management Coding Alert
Reader Questions:
Look to 354.1 for Anterior Interosseous Syndrome
Published on Mon Feb 05, 2007
Question: Our physician noted "anterior interosseous syndrome or focal nerve entrapment" on the patient's chart. What diagnosis should I assign? Michigan Subscriber Answer: Your most accurate choice is probably 354.1 (Other lesion of median nerve). Background: The anterior interosseous nerve (AIN) is a purely motor nerve branch from the median nerve. Anterior interosseous syndrome is a rare compression syndrome with signs and symptoms that include vague discomfort in the proximal forearm, parathesias and numbness. Excessive supination/pronation (such as that seen in a baseball pitcher or hockey/lacrosse player) seems to aggravate the AIN and contribute to the condition.
Other Articles in this issue of
Neurology & Pain Management Coding Alert
- CPT Makeover:
Learn How the 2008 Modifier Changes Will Affect Your Claims
Don't miss what an updated modifier 25 has in store for PAs and CRNPs CPT [...] - Coding 101:
59 Made Easy: Look for a Separate Location/Session
Be sure to check CCI for a -1- modifier indicator Properly applying modifier 59 is [...] - Audit Heads-Up:
Brace Yourself for RACs -- and What Their Visits Might Mean
Look for more intense scrutiny of Medicare payments in 2008 Billing Medicare as the primary [...] - Reader Questions:
Code Headache Separately From West Nile Fever
Question: What diagnoses apply to West Nile virus with encephalitis and post-encephalitis headache? The patient [...] - Reader Questions:
Verify That ADHD Claim Goes to Correct Payer
Question: Our payer is denying any claims our pediatric neurologists submit for patients with ADHD [...] - Reader Questions:
Remember Fifth Digit for Myasthenia Gravis Dx
Question: One of our technicians is training to perform repetitive nerve stimulation on patients with [...] - Reader Question:
Flat Fee Might Be Best for Visit Without Patient
Question: Does CPT include a code we can use when the physician sees the patient's [...] - Reader Questions:
Report 95806 for Off-Site Sleep Test Monitoring
Question: Our staff completed a portable sleep study in the patient's home (staged, with three [...] - Reader Questions:
Append 26 to Report Separate EEG Reading
Question: Our technologist often administers the EEG, and the physician reads the results later that [...] - Reader Questions:
Look to 354.1 for Anterior Interosseous Syndrome
Question: Our physician noted "anterior interosseous syndrome or focal nerve entrapment" on the patient's chart. [...] - Reader Questions:
Erase PHI Before You Click 'Send'
Question: I sometimes e-mail patient records to consultants or other coders for help on how [...] - Reader Questions:
Nerve Monitoring May Be Bell's Palsy Check
Question: I overheard a coworker discussing facial nerve monitoring testing for patients with Bell's palsy. [...] - Reader Questions:
Finally, You Can Look Up NPI Information
Question: Is the NPI database up yet? I can't figure out where to look for [...] - You Be the Coder:
Documenting a Nonresponsive Patient
Question: One of our patients is nonresponsive and unable to answer questions. The neurological exam [...]
View All
