LaVoncye
Networker
Please Help
I have a claim that has been denied. It was coded by the senior coder as follows
62264
62311 59
77275 26, 59
This is the note with the procedure from the dr.
Procedure performed
Caudal Epidural lysis of adhesions under fluoroscopy
Caudal epidural steroid injection #3 under fluoroscopy
Lumbar epidurogram
The only line paid was the 62264 the rest were denied by medicare.
The coder is no longer her so I am trying t figure this out.
I was thinking that the coding should be as follows
62311
72275 26
Or 62264 , 72275 26 because it says Lysis of the epidural lesions with injection of solution/ Mechanical Methods.
His note stated that under fluoroscopy and lateral imaging the caudal epidural space was identified, lidocaine was used for topical infiltration and a 37 gauge introducer needle was slowly and incrementally advanced into the caudal epidural space and the epidurogram showed superior spread.
Afterwards the agilecath was navigated in a cephalad manner, it was taken up to the inferior aspect of L3 at which point in time there was significant scar tissue and the catheter was not able to be advanced any further. We tried to advance the catheter in a central manner however it did veer towards the left side slightly and this could not be adjusted any further due to the scar tissue. Upon reaching this area a solution was injected in order to carry out the lysis of adhesions, other medications were injected as the catheter was with withdrawn.
Can some please help me?
I have a claim that has been denied. It was coded by the senior coder as follows
62264
62311 59
77275 26, 59
This is the note with the procedure from the dr.
Procedure performed
Caudal Epidural lysis of adhesions under fluoroscopy
Caudal epidural steroid injection #3 under fluoroscopy
Lumbar epidurogram
The only line paid was the 62264 the rest were denied by medicare.
The coder is no longer her so I am trying t figure this out.
I was thinking that the coding should be as follows
62311
72275 26
Or 62264 , 72275 26 because it says Lysis of the epidural lesions with injection of solution/ Mechanical Methods.
His note stated that under fluoroscopy and lateral imaging the caudal epidural space was identified, lidocaine was used for topical infiltration and a 37 gauge introducer needle was slowly and incrementally advanced into the caudal epidural space and the epidurogram showed superior spread.
Afterwards the agilecath was navigated in a cephalad manner, it was taken up to the inferior aspect of L3 at which point in time there was significant scar tissue and the catheter was not able to be advanced any further. We tried to advance the catheter in a central manner however it did veer towards the left side slightly and this could not be adjusted any further due to the scar tissue. Upon reaching this area a solution was injected in order to carry out the lysis of adhesions, other medications were injected as the catheter was with withdrawn.
Can some please help me?