Neurosurgery Coding Alert

Edits bundle J0670 with 64405, 64450, and 64493.Nerve block and neurolytic agent injection codes are among those addressed in Correct Coding Initiative (CCI) edits (effective July 1) which could affect your claims success.CCI 16.2 encompasses 16,843 new edit pairs, according to analyst Frank Cohen, MPA, of MIT Solutions, Inc., in Clearwater, Fla. Here's what you need to know about edits to prevent denials and delays.EEG, Pump Refills Appear in NME EditsColumn 1/Column 2 edits, also referred to as non-mutually exclusive edits (NMEs), include pairs of procedures your physician could reasonably perform during the same session. Whether you report both procedures, however, depends on the modifier indicator for the pair.EEG recording: Non-mutually exclusive edits in CCI 16.2 pair 95830 (Insertion by physician of sphenoidal electrodes for electroencephalographic [EEG] recording) with HCPCS codes J0670 (Injection, mepivacaine HCL, per 10 ml) and J2001 (Injection, lidocaine HCL for intravenous infusion, 10 mg). The pairs [...]