pain coding

  1. M

    Wiki MEDIAN BRANCH BLOCKS

    I have been having a little back and forth about coding cervical median branch blocks. For example, a bilateral C2, C3 median branch block. Per AMA 2024 CPT book, this would be coded as 64490-50. I'm being told to code this as 64490-RT and 64490-LT. I can't fathom how that would be right?? Now...
  2. V

    Wiki Therapeutic Wound Exploration and lysis of lumbar adhesions.

    Our pain management doctor performed a procedure which was authorized under CPT code 11043 - Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm or less. This is what the doctor documented: The patient was brought back into the...
  3. L

    Wiki Pain Management documentation

    I have a pain doctor that is wanting the M/A to type the radiology impression (findings) from another facility's radiology report on the patient's visit word for word, is this ok to do according to the standard documentation guidelines.
  4. 5

    Wiki Anesthesia by CRNA

    Hello, We have CRNAs that provide the anesthesia for our pain Doctors at the surgery center. They all work under the same TIN - same medical company, but different NPI numbers. We do have all the correct numbers in the correct box on the claim. We are having issues with insurance companies...
  5. K

    Wiki Q understanding procedural descriptions of ablation TON vs. C2-C3

    I have two op reports for the same patient/dx with what I believe to be the same procedures with only different laterality. I had initially thought to code the first report with ablation of TON, C3-C4, & C4-C5 with 64633-LT, 64640-LT & 64634-LT and the second report with like codes of 64633-RT...
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