celcano
Networker
This is the first time I have run across this scenario since I began pain management coding. My physician did the following procedures in the same session:
Insertion of a permanent midline cervical octrode spinal cord stimulator lead
Insertion of a permanent life cervical octrode spinal cord stimulator lead
Insertion of a permanent right thoracic octrode spinal cord stimulator lead
Insertion of a permanent left thoracic octrode spinal cord stimulator lead
Implantation of left power spinal cord generator
Implantation of right power spinal cord generator
Intraoperative neurostimulation trail
Code 63650 has an MUE of 2 and code 63685 has a MUE of 1. The physician billed 4 units of 63650 and 2 units of 63685. Of course, these have hit billing edits because the units exceed the MUEs.
My thoughts on billing this is:
63650 X 2
63650-59 X 2
63685 X 1
63685-59 X 1
95972 (MUE of 1. Would I bill total time spent for the intraoperative neurostimulation trial for both generators/leads or bill for 2 separate line items?)
Any guidance would be greatly appreciated.
Insertion of a permanent midline cervical octrode spinal cord stimulator lead
Insertion of a permanent life cervical octrode spinal cord stimulator lead
Insertion of a permanent right thoracic octrode spinal cord stimulator lead
Insertion of a permanent left thoracic octrode spinal cord stimulator lead
Implantation of left power spinal cord generator
Implantation of right power spinal cord generator
Intraoperative neurostimulation trail
Code 63650 has an MUE of 2 and code 63685 has a MUE of 1. The physician billed 4 units of 63650 and 2 units of 63685. Of course, these have hit billing edits because the units exceed the MUEs.
My thoughts on billing this is:
63650 X 2
63650-59 X 2
63685 X 1
63685-59 X 1
95972 (MUE of 1. Would I bill total time spent for the intraoperative neurostimulation trial for both generators/leads or bill for 2 separate line items?)
Any guidance would be greatly appreciated.