Wiki Ultrasound Guided Transforaminal Injection

[consultingbykristin]

Is anyone billing Medicare (California or other states) for an ultrasound guided transforaminal injection. We have Category III Code 0228T for a cervical injection. I'm looking for payment and policy information.

Thanks in advance.

 

[fami]

Hi,
Here you go.......... CA state.

APC Status Indicator T

APC 00207 - Level III Nerve Injections
Wage Adjusted APC Payment $ 643.21
Relative Weight 7.9333
National Payment Rate $ 565.75
National Unadjusted Coinsurance $ 0.00
Minimum Unadjusted Coinsurance $ 113.15


Fami

 

[dwaldman]

For the professional side, I believe the category III could have a payment indicator of carrier priced and the Medicare carrier you are billing would price it at the time of processing.