Neurology & Pain Management Coding Alert

Dx, treatment options point the way to smooth CTS reporting. Think coding carpal tunnel syndrome is easy? After all, ICD-9 includes only one diagnosis: 354.0 (Carpal tunnel syndrome). Carrier policies can complicate matters, however, so follow these guidelines to ensure proper reimbursement -- even if diagnostic testing doesn't establish a definitive diagnosis up front. 1. Report Symptoms on the Road to Diagnosis Even if your neurologist suspects a patient has carpal tunnel syndrome (CTS), reporting diagnosis 354.0 before he completes all testing might limit your options down the road. While you're waiting for test results, report the patient's symptoms to justify any services your physician provides. Typical signs and symptoms of CTS can include: • numbness and tingling (782.0) • aching pain in the thumb, index, and middle fingers that might move up the arm (729.5) • hand and grip muscle weakness (728.87) • feeling of swollen hand (729.81). Diagnosis tip: [...]