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Anesthesia Coding Alert

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Crosswalk Confusion for 64483

Published on Fri Oct 07, 2011

Question: We crosswalked 64483 to anesthesia code 01992, but the payer denied our claim. What should we do differently? Colorado Subscriber Answer: The ASA Crosswalk changed the anesthesia code associated with 64483 (Injection(s), anesthetic agent and/or steroid, transforaminal epidural, with imaging guidance (fluoroscopy or CT); lumbar or sacral, single level) in 2011. The previous crosswalk was 01992 (Anesthesia for diagnostic or therapeutic nerve blocks and injections [when block or injection is performed by a different provider]; prone position). Now your correct choices are 01935 (Anesthesia for percutaneous image guided procedures on the spine and spinal cord; diagnostic) or 01936 (... therapeutic). Explanation: Code 64483 now includes imaging guidance, so your anesthesia code should reflect that component.
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