In Coding
Jan 1st, 2014
Proper reporting requires modifier and radiological guidance knowledge.  by Thangaraj Arunachalam, CPC Sacroiliac (SI) joint injection, or SI joint block, is used primarily either to diagnose or to treat low-back pain, and/or sciatica associated with SI joint dysfunction. Coding for this procedure is relatively straightforward, if you consider imaging and/or the proper use of modifier ...
Apr 1st, 2012
Part 1: Make room for the latest in CPT® coding. By Marvel J. Hammer, RN, CPC, CCS-P, PCS, ACS-PM, CHCO, and G.J. Verhovshek, MA, CPC CPT® 2012 brings important changes to pain management coding. In the first of this two-part series, we’ll: Review the revised coding guidelines for sacroiliac (SI) joint injection. Clarify the methodology ...
Feb 1st, 2012
New, more concise codes facilitate spot-on coding for all components of vascular and nonvascular procedures. By David Zielske, MD, CPC-H, CIRCC, CCC, CCS, RCC Many interventional radiology code changes over the past several years have resulted in the creation of a single code to describe what was previously described with multiple codes. This trend continues ...
In Billing
Jan 27th, 2012
Medicare administrative contractors (MACs) are fervently updating their local coverage determinations (LCDs) to coincide with 2012 coding changes brought forth by the American Medical Association (AMA) and the Centers for Medicare & Medicaid Services (CMS). Highmark Medicare Services, for example, has revised the following LCDs to reflect the annual CPT® and HCPCS Level II code updates, ...
In Coding
Jan 18th, 2010
Medicare data analysis indicates that a large percentage of claims submitted to Pinnacle Business Solutions (PBI) for sacroiliac (SI) joint injections with arthrography are reported using CPT® 27096 Injection procedure for sacroiliac joint, arthrography, and/or anesthetic/steroid without evidence of fluoroscopic guidance. Not only does this equate to a loss of as much as $78 per procedure, it sets ...