Eli's Rehab Report
TrailBlazer Expands Coverage for Myobloc Injections
Our June article "Be Specific When Coding for Myobloc" noted that Botox type B (also known by its trade name, Myobloc, J0587) injections were only covered by Medicare on a national basis for cervical dystonia (ICD-9 333.83 ) patients. Some Medicare carriers are now expanding that coverage to include other diagnoses In fact, TrailBlazer Health Enterprises, the Medicare Part B carrier for Delaware, Maryland, Texas, Virginia, and Washington, D.C., now covers Myobloc injections for the same diagnoses as Botox type A, including multiple sclerosis (340), infantile cerebral palsy (343.0-343.9) and many other conditions. As always, check with your carrier before billing this drug. Look for our full article update on Myobloc injections in next month's issue of Physical Medicine and Rehab Coding Alert.
Eli's Rehab Report
- Dont Be Sore About Coding for Wound Care
When CPT 2001 introduced codes 97601 and 97602, PM&R practices were pleased to finally have [...] - Wound Care Reimbursement Varies Widely
The following chart outlines approximate reimbursement amounts associated with wound care codes. These figures vary [...] - You Be the Coder:
Topical Gel for Therapy
Test your coding knowledge. Determine how you would code this situation before looking at the [...] - ICD-9 Coding Corner:
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Although PM&R coders are often very focused on precise CPT coding, what they don't realize [...] - Self-Injectables Update:
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Long classified as a "self-injectable" drug, Avonex administration hasn't been reimbursable by Medicare, and multiple [...] - H-Reflex Study Coding:
Bilateral Payment for 95934 Doesnt Have to Be Unnerving
H-reflex studies are almost always performed bilaterally, but the code itself is based on a [...] - News Brief:
Medicare Halts Payment for sNCT Test
PM&R practices that use sensory nerve conduction threshold testing (sNCT) to diagnose conditions such as [...] - Breaking News:
TrailBlazer Expands Coverage for Myobloc Injections
Our June article "Be Specific When Coding for Myobloc" noted that Botox type B (also [...] - Reader Question:
ER Evaluation
Question: Can we use the CPT 99211 -99215 series of codes for ER visits? [...] - Reader Question:
Code for Reiki?
Question: Is there a CPT code for Reiki? New Jersey Subscriber Answer: No, the AMA [...] - Reader Question:
Nerve Injection
Question: Is there a CPT code for performing a lateral femoral cutaneous nerve injection? Utah [...] - Reader Question:
Disability Forms
Question: Is there a CPT code we can use when the physiatrist fills out disability [...] - Reader Question:
Diskography Coding
Question: How should we code diskography done under fluoroscopy at three levels (L3-4, L4-5 and [...] - Reader Question:
Worried Patient
Question: We have had a few patients come to our practice suspecting that they had [...]
