Neurosurgery Coding Alert
NCCI Bundles Steroid Injection/Hemilaminotomy
Question: The surgeon performed an L4-5 hemilaminotomy and diskectomy with an epidural steroid injection. May I report the injection separately? Answer: No, you cannot be reimbursed separately for the epidural injection. The National Correct Coding Initiative, version 10.1, bundles 62311 (Injection, single [not via indwelling catheter], not including neurolytic substances, with or without contrast [for either localization or epidurography], of diagnostic or therapeutic substance[s] [including anesthetic, antispasmodic, opioid, steroid, other solution], epidural or subarachnoid; lumbar, sacral [caudal]) to many laminectomy and spinal procedures in the 62263-63746 range, including those for hemilaminotomy. -- Clinical and coding expertise for You Be the Coder and Reader Questions provided by Eric Sandham, CHC, CPC, compliance manager for Central California Faculty Medical Group, a group practice and training facility associated with the University of California at San Francisco in Fresno.
Ohio Subscriber
Neurosurgery Coding Alert
- Separately Report Grafting During Arthrodesis and Collect an Additional $200
You needn't worry about NCCI Edits with most bone graft/spinal fusion combinations Although CPT and [...] - Recoup the Cash You Deserve With Modifiers -LT, -RT and -50
Realize $430 more for bilateral laminotomy with the correct modifier You're not alone if you [...] - Spinal Bone Graft Codes at a Glance
When reporting bone grafts with spinal fusions (22548-22812) and/or instrumentation (22840-22855), you should choose from [...] - You Be The Coder:
How Many Units of Fluoroscopic Guidance?
Question: May I report multiple units of fluoroscopic guidance when administering facet blocks to more [...] - Create a Win/Win Situation With After-Hours Codes
Gain an extra $50 for urgent office visits and still save the payer money Medicare [...] - Reader Question - Same-Day Observation/Discharge:
99234-99236
Question: A patient presented to the emergency department complaining of dizziness and nausea following a [...] - Reader Question:
Fee Schedule Can Give You Global Period Info
Question: How can I find the length of postoperative global periods for various procedures the [...] - Reader Question:
Use the 'Units' Box for Multiples of a Single Code
Question: When reporting multiple units of a single procedure, should I use the "units" box [...] - Reader Question:
Don't Expect Payment if Patient Isn't Present
Question: Can we bill an office visit (99211-99215) for a consult with a family member [...] - Reader Question:
NCCI Bundles Steroid Injection/Hemilaminotomy
Question: The surgeon performed an L4-5 hemilaminotomy and diskectomy with an epidural steroid injection. May [...]
