Wiki SOAPP/COMM

I work for a Pain Management doctor & have a wondering what CPT should I use for SOAPP/COMM, CESD-R, PMQ-R, CPCOG? The office has been using G0444, 96136, & G0396, but I am having problems getting these codes paid. I have tried to research these codes to see if there are better CPT codes but cannot find anything. I am new to the pain management world, so these codes are foreign to me. Any help would be appreciated!

brocal1979 said:

I work for a Pain Management doctor & have a wondering what CPT should I use for SOAPP/COMM, CESD-R, PMQ-R, CPCOG? The office has been using G0444, 96136, & G0396, but I am having problems getting these codes paid. I have tried to research these codes to see if there are better CPT codes but cannot find anything. I am new to the pain management world, so these codes are foreign to me. Any help would be appreciated!

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20552: Trigger point injection for 1-2 muscle groups.

64405: Greater occipital nerve block.

20610: Joint aspiration or injection for conditions like osteoarthritis (M19.90).

Use proper dx codes M54.50 M54.2 M54.6,M17-M19 DJD or knees, hips, joints just pain dx codes. If provider states in notes chronic pain add dx G89.29. Also Z dx codes can vary Z13.828 encounter for muscles & bones Also use modifiers of left, right and 50 if both sides. Add J code for meds and mg. amount on claim. If due to injury use dx S and Y dx codes plus episode of care and date of injury on claim. If referred from another doctor or provider add on claim too.
I hope helped you
Lady T

brocal1979 said:

I work for a Pain Management doctor & have a wondering what CPT should I use for SOAPP/COMM, CESD-R, PMQ-R, CPCOG? The office has been using G0444, 96136, & G0396, but I am having problems getting these codes paid. I have tried to research these codes to see if there are better CPT codes but cannot find anything. I am new to the pain management world, so these codes are foreign to me. Any help would be appreciated!

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We received payment on some of the codes when we applied modifier 59, except for G0396.