- Home
- » e-Newsletters
Coding tip: Code epidural steroid injections by region of single injection
Ambulatory Surgery Reimbursement Update, July 31, 2007
Bill epidural steroid injections (ESIs) using CPT code 62310, which pertains to the cervical/thoracic regions of the body.
Use code 62311 for lumbar/sacral/caudal regions of single injections not performed via an indwelling catheter if the injection does not include neurolytic substances. These injections can consist of either a diagnostic or therapeutic substance(s) and include an anesthetic, antispasmodic, opioid, steroid, or other solution.
Physicians perform ESIs in the epidural space of the spine for patients who suffer from pain caused by disorders in the spine, such as disc herniations, post-laminectomy syndrome, or complex regional pain syndromes, which require nerve blockade in and around the spine.
Bill the epidural steroid injection once per level once per side regardless of the number of injections per level and side.
If you use fluoroscopy, bill code 77003 for the fluoroscopic guidance, paraspinous diagnostic or therapeutic injection procedures and localization of needle or catheter tip. Fluoroscopic guidance can only be billed once per region. If a physician performs injections in both the cervical and lumbar areas, you could bill the fluoroscopic code twice. Use modifier -59 on subsequent repeat listings of the same code billed more than once to help avoid a payer denial.
This tip is brought to you by Ellis Medical Consulting, Inc.
Most Popular
- Articles
-
- Differentiate between types of wound debridement
- Complications from immobility by body system
- Treating Chronic Pain a Tough Task for Physicians
- Note similarities and differences between HCPCS, CPT® codes
- OB services: Coding inside and outside of the package
- Fracture coding in ICD-10-CM requires greater specificity
- Don’t forget the three checks in medication administration
- What does case-mix index mean to you?
- Your Hospital's Financial Statements: How Management Keeps Score
- OSHA issues new inspection guidelines for field inspectors: How you’re affected
- E-mailed
-
- Q&A: Review palliative care charts and query for 'comfort care' when appropriate
- Q&A: Coding for palliative care
- Nurse practitioners improve discharges, reduce readmissions, and save hospitals money
- Know How to Document Missed Visits
- Inter-department communication can improve patient safety
- Identify new intraocular lenses for which ASCs can bill patients directly
- ICD-10-CM coma, stroke codes require more specific documentation
- Consider four tips when writing your use-of-force policy
- Coding tip: Learn types and names of bunion procedures, part 2 of 2
- CMS replaces clinic E/M visit levels with single G-code
- Searched