Advanced Search

Neurology & Pain Management Coding Alert

You Be the Coder:

Breaking the 64493/01992 Edit for Separate Providers

Published on Tue Jan 28, 2014

Question: Our pain management physician administered an injection (64493) and the CRNA provided anesthesia (01992). We filed the claims separately, but the CRNA’s was filed under the physician’s ID number. We included modifier QZ on the claims. The payer denied the claim on the basis that 01992 is incidental to 64493 per CCI edits and can’t be broken with a [...]
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

Neurology & Pain Management Coding Alert

View All