Neurosurgery Coding Alert

5 do's and don'ts steer you through CCI 16.0's sedation, neurostimulator edits

Say goodbye to paravertebral facet injections with I&D, arthrodesis, burr hole -- and more. Watch for one detail in the latest Correct Coding Initiative (CCI) edits that will help you override a bundle when coding neurostimulator revision and replacement. Version 16.0 includes more than 649,000 active edits, according to Frank Cohen, MPA, of MIT Solutions Inc. in Clearwater, Fla. Read on for the most important highlights for your practice -- and the lowdown on how to adhere to additional edits without giving away procedures. Do Forget Paravertebral Facets With 22xxx, 61000-64999 The bulk of neurosurgery-related edits apply to new codes 64490 (Injection[s], diagnostic or therapeutic agent, paravertebral facet [zygapophyseal] joint [or nerves innervating that joint] with image guidance [fluoroscopy or CT], cervical or thoracic; single level) and 64493 (Injection[s], diagnostic or therapeutic agent, paravertebral facet [zygapophyseal] joint [or nerves innervating that joint] with image guidance [fluoroscopy or CT], lumbar or sacral; single [...]
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