Eli's Rehab Report
Single or Continuous Epidural?
Question: Should we report CPT 62318 or 62319 when the physiatrist percutaneously inserts a catheter to deliver anesthetic and steroid to the epidural interspace and then removes the catheter at the end of the patient session? Arizona Subscriber Answer: Because the physician inserted the catheter only to deliver medication for one-time use and removed the catheter after the drug delivery, you cannot report the continuous infusion codes 62318 (Injection, including catheter placement, continuous infusion or intermittent bolus, 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; cervical or thoracic) or 62319 (... lumbar, sacral [caudal]). You should report 62310 (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; cervical or thoracic) or 62311 (... lumbar, sacral [caudal]), depending on whether the physiatrist addressed the cervical/thoracic (62310) or the lumbar/sacral (62311) interspaces.
These codes require continuous infusion or intermittent bolus, which you did not administer. In addition, the physician must place an indwelling catheter to report 62318 and 62319, and your physician removed the catheter at the end of the procedure.
Eli's Rehab Report
- For Aftercare, Report New V Codes Instead of Surgical Codes
If your rehab practice performs aftercare following surgery or fracture, do not report the surgery [...] - Group Therapy:
Report 97150 Despite Patients Demands
You planned your group therapy (97150) session perfectly to accommodate three patients with similar therapy [...] - You Be the Coder:
Single or Continuous Epidural?
Test your coding knowledge. Determine how you would code this situation before looking at the [...] - News Brief:
2003 Conversion Factor Increased By 1.6 Percent
Although CMS cut the fully implemented nonfacility RVU for 20600* (Arthrocentesis, aspiration and/or injection; small [...] - Reader Question:
Same-Day SI and Facet Injections
Question: Which codes should we report for a sacroiliac (SI) injection on the same day [...] - Reader Question:
You Can Bill Suture Removal Sometimes
Question: Our physiatrist saw a patient in rehab following knee surgery and removed the patient's [...] - Reader Question:
Tendon Injections Differ From TPIs
Question: What are the differences among the codes in the CPT 20550 -CPT [...] - Reader Question:
Report 64999 for Hypogastric Block
Question: How should we code a hypogastric plexus nerve block? Tennessee Subscriber Answer: Because CPT [...] - Reader Question:
Report 64620 for Cryoneurolysis
Question: Which codes should I report for cryoneu-rolysis of the thoracic intercostal nerves at T9, [...] - Reader Question:
Its OK to Report 95870 Per Extremity
Question: How many units of 95870 should we report if the physiatrist performs limited EMG [...] - Reader Question:
Code ROM-Loss Symptoms
Question: If a patient has range-of-motion (ROM) loss, should we report 719.5x (Stiffness of joint) [...] - Reader Question:
Post-Op Pain Management Diagnoses Vary
Question: Medicare denied one of our rehab physician's postoperative pain management claims (the carrier cited [...] - Reader Question:
Report E/M for Oxygen Administration
Question: One of our patients suffered syncope and collapsed in the office. We administered oxygen, [...]
