Results 1 to 2 of 2

TargetCath for lysis of adhesion with caudal injection.

  1. Default TargetCath for lysis of adhesion with caudal injection.
    Medical Coding Books

    I hope someone can help with this.

    We billed 62311 caudal epiduarl steriod injection.
    62264 TargetCath eqidural adhesion lysis.
    77003 Fluoroscopic needle localization.
    OP-notes reads

    A skin wheal was raised just superficial and caudal to the sacral hiatus using 1% lidocaine. Then, and 18-gauge Tuohy needle was introduced under direct fluoroscopic guidance and advanced throught the sacral hiatus. The needle was further advanced rostrally and at that point, the C-arm was maneuvered to get an AP view of the pelvis. The needle was visualized midline. Aspiration was negative to blood and or CSF.

    At this point, a guidewire was placed through the Tuohy needle and a 5-mm skin incision was made using a scalpel at the point of guidewire to make for easier access for the dilator. The dilator was then theaded through the guidewire and advanced to increase the size of the insertion point at the sacral hiatus. The dilator was removed and the TargetCath was threaded throught the guidewire into the caudal epidural space. Then 8 ml of Isovue 180 was injected and the spread of the dye was noted. The target catheter was manipulated to the left and to the right in an effort to break epidural adhesions. After manipulation of the catheter, the TargetCath tip was more mobile in the epidural space than it was initially, indicating lysis of some of the adhesion.

    Then 80 mg of Kenalog mixed with 8 ml of presevative-free 0.5% lidocaine was injected. This was followed by another 8 ml of 0.5% lidocaine. then the catheter was removed.

    We billed this to a local MA carrier, and received payment for only 62311.

    stating 62264, 77003 included. Is this correct or do we need a modifer?

    Any advise will be appreciated.

  2. #2
    Jacksonville, FL
    The 77003 is definately included in the 62264, per CPT language, so those 2 codes should not be billed seperately of each other. The 62311 is a column 2 code to the 62264, so if the carrier you billed it uses NCCI edits, then chances are you will not get paid for the other codes.

    Sherrie M., CPC

Similar Threads

  1. Replies: 1
    Last Post: 07-30-2013, 10:49 PM
  2. circumcision and adhesion lysis
    By grossap in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 10-21-2010, 07:42 AM
  3. Do we code Lysis of adhesion
    By Jessheartz in forum General Surgery
    Replies: 2
    Last Post: 08-12-2010, 07:48 PM
  4. TargetCath eqidural adhesion lysis
    By ortho1991 in forum Anesthesia
    Replies: 3
    Last Post: 01-23-2009, 09:42 AM
  5. Lysis of adhesion
    By BFAITHFUL in forum Orthopaedics
    Replies: 2
    Last Post: 10-22-2008, 12:42 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.