Eli's Rehab Report
Epidural Steroid Injection
Question: What is the appropriate code to bill for an L2-3 intralaminar epidural steroid injection? Idaho Subscriber Answer: This type of injection is also known as a translaminar epidural injection, and you should bill it using 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]). According to CPT Assistant, the type of substance injected (e.g., narcotic, anesthetic, steroid, antispasmodic) does not dictate the code choice. And 62311 differentiates itself from other injections by focusing "on the route of administration (i.e., single injection [not via indwelling catheter] versus continuous infusion or intermittent bolus via catheter)," CPT Assistant states.
Eli's Rehab Report
- Avoid OIG Scrutiny in 2003:
Correctly Code Rehab Claims,Incident-To Services
Because the U.S. Office of Inspector General (OIG) intends to scrutinize consol idated billing in [...] - Bill Fluoroscopy for SI Injections With No Arthrography
" Although many insurers argue that fluoroscopy should not be billed separately from injection procedures, [...] - You Be the Coder:
Lumbar Disc Disease
Test your coding knowledge. Determine how you would code this situation before looking at the [...] - ICD-9 Coding Corner:
Signs and Symptoms Codes Help Justify Medical Necessity
PM&R practices that submit diagnostic testing claims before determining firm diagnoses should use the "Symptoms, [...] - News Brief:
OIG to Scrutinize Rehab Stays, Incident-To
According to its recently released 2003 Work Plan, the U.S. Office of Inspector General (OIG) [...] - News Brief:
CMS Corrects Erroneous Bilateral Status Indicators
If your PM&R practice has had fee reductions when reporting 20526 (Injection, therapeutic [e.g., local [...] - Reader Questions:
PA Performing Preoperative Exam
Question: Our physician assistant (PA) usually performs the history and physical (H&P) portion of preoperative [...] - Reader Questions:
Billing for DME Application
Question: Our office has an outside durable medical equipment (DME) supplier who bills the DME [...] - Reader Questions:
Coding Myofascial Pain
Question: Our practice often treats myofascial pain syndrome, which we code as ICD-9 729.1 [...] - Reader Questions:
Electrical Stimulation
Question: Our physiatrist introduced electrical stimulus to a patient's pain site using surface electrodes attached [...] - Reader Questions:
Epidural Steroid Injection
Question: What is the appropriate code to bill for an L2-3 intralaminar epidural steroid injection? [...] - Reader Questions:
Independent Medical Exams
Question: Another practice asked us to perform an independent medical exam (IME) for a patient. [...]
