Neurosurgery Coding Alert
Consider This Clinical Chemodenervation Example
Question: Encounter notes indicate a patient reports complaining of chronic migraine headaches. The patient states that they have had 18 headache days per month lasting longer than four hours each for four months. Average pain rated 6/10. Botox injections have been helpful in the past, with a 60 percent reduction in headache intensity. The patient currently reports photophobia and sensitivity to sounds. The provider administers botulinum toxin was administered: 155 units given, 45 wasted. How should I report this encounter? Georgia Subscriber Answer: For this encounter, you’d report: Modifier JW (Drug amount discarded/not administered to any patient) appended to J0585 x45 to show that this is the amount of Botox wastage during the chemodenervation.
Related Articles
Neurosurgery Coding Alert
- E/M 2023:
Inpatient, Observation Code Revisions Highlight Changes
Here’s what you’ll use instead of 99217 next year. The American Medical Association (AMA) has [...] - ICD-10 2023:
New Code Book Expands Several Cranial Injury Sets
Blast-wave injuries get big Dx bump. Last month, we examined a bevy of new diagnosis [...] - E/M Coding:
This Advice Can Help Strengthen Shared Billing Skills
Remember that the patient’s medical narrative is documentation-driven. If you haven’t performed shared billing lately, [...] - You Be the Coder:
Consider This Clinical Chemodenervation Example
Question: Encounter notes indicate a patient reports complaining of chronic migraine headaches. The patient states that [...] - Reader Questions:
Go With Add-On for Multiple Intercostal Shots
Question: Encounter notes indicate that the provider performed a steroid injection to two levels of an [...] - Reader Questions:
Modifier 22 Documentation Keys Successful Claims
Question: I was told documentation for modifier 22 (Increased procedural services) should be a separate paragraph [...] - Reader Questions:
Phlebotomy Does not Equal Blood Draw
Question: I recently used 99195 (Phlebotomy, therapeutic (separate procedure)) for a routine blood draw, but it [...]
