Wiki Billing 62321 & 77003 ASC PAIN MGMT

[Lvleeday]

Ive bn hired to clean the A/R for a stand alone ASC Pain Mgmt. I see the billing staff hs billed a 62321 & 77003 w/DX.M54.16 on a UB. From my research this coding is incorrect yet I'm new to Pain Mgmt. Also facility is charging $12k for 62321. All PPO payors. All insights are welcomed. TY!

 

[lgardner]

per EncoderPro:
Do not report 62321 with 77003, 77012, or 76942.

ALSO, per Novitas LCD Article A56681, M54.16 is an appropriate dx to use with 62321.

 

[Lvleeday]

Got it, Thank you very much for the reply!