Go Back   AAPC Medical Coding & Billing Forums > Medical Coding > Anesthesia
Forum Rules FAQ Members List Calendar Search Today's Posts Mark Forums Read

Reply
 
Thread Tools
  #1  
Old 02-19-2013, 08:03 AM
06Coder 06Coder is offline
Contributor
 
Join Date: Apr 2007
Posts: 18
06Coder is on a distinguished road
Default Chemodenervation 64615 used with EMG 95874

Does anyone bill these two codes and are you getting paid? My provider insists these services should be billed together.
New Code 2013 64615 (Chemodenervation . . . . . eg, for chronic migraine) with add on code EMG 95874. CPT Manual states for 95874 use in conjunction with 64612-64614. I found a powerpoint from AMA Symposium (11/2012) stating 64615 was editorially revised to include image guidance. That seems to support the CPT Manual guidance listed with 95874.
What makes this new code different from the 64612-64614 allowing EMG 95874?
Reply With Quote
  #2  
Old 02-20-2013, 09:55 PM
dwaldman dwaldman is offline
True Blue
 
Join Date: Apr 2007
Posts: 1,090
dwaldman is on a distinguished road
Default

From AMA 2013 CPT Manual,

(Use 95873, 95874 in conjunction with 64612-64614)

http://www.ama-assn.org/ama/pub/phys...pt/errata.page

I didn't see in the corrections that they published of the 2013 CPT manual that they recognized the instructional note was not updated to 64612-64615).

There might be a way from the above link to bring this to their attention. But the carrier is going to have their software looking for a primary code since 95874 which might cause it to deny if billed with 64615.
Reply With Quote
Reply

Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off




Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.

All times are GMT -6. The time now is 02:04 AM.

AAPC - Top

Powered by vBulletin® Version 3.8.1
Copyright ©2000 - 2014, Jelsoft Enterprises Ltd.
Copyright ©2014, AAPC