Wiki Epidural Steriod Injections

[vickichapman]

I do cardiology billing but did ortho many years ago. I had a friend ask me today how to bill for Epidural Steriod Injections. Can someone give me guidance?

Thanks,

Vicki Chapman, CPC
Ft Worth

 

[cconroycpch]

Need a bit more info. but here is a start -
62310 - Cervical / Thoracic epidural steriod injections
62311 - Lumbar / Sacral ESI
64470/64472 - Cervical / thoracic facet injections - Modifier RT or LT
64475/64476 - Lumbar / sacral facet injections - Modifier RT or LT
64479/64480 - Cervical / thoracic transforaminal injections - Modifier RT or LT
64483/64484 - Lumbar / sacral transforaminal injections - Modifier RT or LT

77003 would be used for the fluoroscopy with the 26 modifier or TC if needed.

There are a lot more codes, but this is a start.

 

[krisfelty]

Epidural

how about a C7-T1 interlaminar epidural steriod inj,rt paracentral? Do you know a code for this?

Thanks,

Kris

 

[cconroycpch]

I am not familar with physicians stating "interlamina", but it sounds like it would be coded as 62310 (epidural injection) or 64479 (transforaminal). You would also bill the fluoro with 77003 w/modifier TC or 26 as appropriate.

 

[CrysLednum]

I do coding for Pain Management docs and I agree with 62310 for the C7-T1 injection along with 77003 with Mod. 26 (for the doc).