betsycpcp
Networker
If the physician is injecting the exact same muscles that are included under 64615, but it's for chronic headaches that are not migraines, shouldn't that be the code that is used even though the code description says "eg, for chronic migraine"? In a CPT Assistant from April 2013 they list these muscles as being injected under 64615 for a migraine patient: frontalis, corrugator, procerus, occipitalis, temporalis, trapezius, and cervical paraspinal muscle groups.
The one I'm looking at is a workers' comp claim and the treatment has been approved.
A physician is billing multiple codes for injecting these exact muscles (64612, 64616, 64642, 64643), but shouldn't it be 64615 since what they did is what that procedure includes? He lists left and right procerus/corrugator, frontalis, temporalis, occipitalis, cervical paraspinals, trapezius, and thoracic paraspinals. Medicare only lists the migraine diagnosis for 64615, but can they bill several codes instead of 64615 just because they're not treating migraines? They list the diagnosis as 310.2 (postconcussion syndrome) and 784.0 (headache).
My basic question is can they use the various codes for different muscle groups just because this was not for migraines?
Thanks for any help.
The one I'm looking at is a workers' comp claim and the treatment has been approved.
A physician is billing multiple codes for injecting these exact muscles (64612, 64616, 64642, 64643), but shouldn't it be 64615 since what they did is what that procedure includes? He lists left and right procerus/corrugator, frontalis, temporalis, occipitalis, cervical paraspinals, trapezius, and thoracic paraspinals. Medicare only lists the migraine diagnosis for 64615, but can they bill several codes instead of 64615 just because they're not treating migraines? They list the diagnosis as 310.2 (postconcussion syndrome) and 784.0 (headache).
My basic question is can they use the various codes for different muscle groups just because this was not for migraines?
Thanks for any help.