Advanced Search

Orthopedic Coding Alert

You Be the Coder:

Adhere to These 0213T to 0218T Edits

Published on Mon Sep 27, 2010

Question: My physician is hoping to start using the new paravertebral facet joint injection codes. Are there any edits we should be aware of?South Dakota Subscriber Answer: Paravertebral facet joint injection codes 0213T-0218T come into play as part of mutually exclusive edits in the Correct Coding Initiative (CCI) version 16.3, which went into effect Oct. 1. CCI 16.3 pairs each of the new category III codes using ultrasound for guidance with the corresponding paravertebral facet joint injection codes using fluoroscopy or CT guidance.This implies that you should report only a single code for performance of a diagnostic or therapeutic injection using a particular guidance method, whether it is ultrasound or fluoroscopy/CT, experts say. If methods of imagelocalization are combined, report only the more definitive method used.The edits include: 64490-64492 (Injection[s], diagnostic or therapeutic agent, paravertebral facet [zygapophyseal] joint [or nerves innervating that joint] with image guidance [fluoroscopy or CT], cervical [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

Orthopedic Coding Alert

View All