Advanced Search

Anesthesia Coding Alert

CCI 18. 2 Edits Not So Fast:

Double Check Codes Before Reporting Injections With Fluoro

Published on Mon Aug 06, 2012

Latest edits specify more injection procedures include guidance. ACA Vol 14 N 9 July 17, 2012 WC = 789     The latest Correct Coding Initiative edits (version 18.2) add more pairs to the list of injections you can't report in conjunction with fluoroscopic guidance. Good news lies with deleted edits, however, where you'll find some injection pairs reinstated for reporting during the same patient encounter.   Steer Clear of Fluoroscopy With 64480, 64484 Non-mutually exclusive edits represent procedures CMS has determined physicians should not bill together because one service inherently includes the other. These are also known as bundled services, or comprehensive/component edits. According to CCI 18.2, you cannot report certain fluoroscopy or CT guidance procedures in conjunction with injection codes 64480 (Injection[s], anesthetic agent and/or steroid, transforaminal epidural, with imaging guidance [fluoroscopy or CT]; cervical or thoracic, each additional level [List separately in addition to code for primary [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Anesthesia Coding Alert

View All