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Thread: 62319 vs 62311

  1. #11
    Join Date
    Apr 2007
    Athens, Ga.


    AAPC: Back to School
    I know what you are saying about the work being more involved, but you must follow the CPT descriptors withhout variation. The descriptor for 62319 specifies intermittant or continous. This does not include single doses, no matter how it is delivered. You could try using the unlisted spinal procedure code 64999 and submitting an op report to see if you can get higher reimbursement. Good luck!

    P.S. I am unfamiliar with the standards for 62264, so I will leave that discussion for someone more knowledgeable.

    Walker Bachman, CPC, CPPM

  2. #12


    You would code as 62311 because the cath was removed immediately, the difference between 62311 and 62319 has nothing to do with the approach. The difference is: one is continuous and one is a single injection. If the catheter is left indwelling, even if it's only dosed once or twice, I would bill 62319, but your doc specifically documents that he removed it after a single injection.

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