Neurology & Pain Management Coding Alert

You Be the Coder:

Know Injection Site Before Choosing Procedure Code

Question: Our physician dictated the following: “patient has irritation of the soft tissues over the left rib area due to scoliosis; I have injected the painful rib area, a 25 gauge needle was placed along the rib itself and 40 mg of Depo-Medrol was injected.” How should we code this? Ohio Subscriber Answer: The physician’s dictation is not complete. Ask him to [...]
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