Outpatient Surgery Magazine

What Surgeons Want - November 2016 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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Coding Pain Procedures With Precision Expert advice for getting paid for epidural injections. J ust as with epidural steroid injec- tions, one false move when you're coding these pain proce- dures can spell big trouble. But as you'll see, there are many cracks for reim- bursement to fall through when you're coding and billing many commonly per- formed pain proce- dures. If an insurer will only pay for a patient to have an injection once every 90 days and you treat him at 60 days, your claim will be denied. If your doctor uses a different code in his claim than your coder, your claim will be denied. If you don't list a covered diagnosis as your first diagnosis on your claim form, Medicare won't pay you. This list goes on. Here's a review of pain management injections for chronic pain that are particularly confus- ing to code. Epidural steroid injections The regular epidural steroid injection (ESI) procedures (CPT Codes 3 4 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • N O V E M B E R 2 0 1 6 Coding & Billing Stephanie Ellis, RN, CPC • CONFUSING Some pain management procedures are billable with other procedures and some are not.

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