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Anesthesia Coding Alert

Stay on Track With ESIs

Published on Fri Nov 07, 2003

Keep these questions in mind to be sure you've covered all of your spinal injection coding bases:   Does your group (or the patient's carrier) require a referral for these treatments? If so, do you have documentation of the referral?
  Does the patient's diagnosis support medical necessity for the injection?
  Did the physician administer multiple injections? If so, were they to different areas (such as lumbar and cervical) that you can code separately?
  Did the physician use fluoroscopic guidance that can be separately coded?
  Did you bill for the injection medication?
  Did the physician perform other procedures during the visit? If so, do these qualify for separate billing?
  Did you code the visit correctly, based on whether it was the patient's first visit or a follow-up injection?
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