AAPC - Back to school
Results 1 to 3 of 3

Thread: discography

  1. #1

    Default discography

    AAPC: Back to School

    Can we bill 62290/62291 for ASC? We billed medicare for 62290 and they denied as included in another service/procedure. They did pay the physician side of charge. Thanks for any input.

    Vicki Jefcoats, CPC

    P.S. Can the NCCI's be downloaded from the MC website????

  2. #2


    (These are my opinions and should not be construed as being the final authority. Other opinions may vary.)

    62290/62291/72285/72295 for ASCs are Medicare 'N1' codes and are not reimbursable by Medicare, and should be billed with a GY modifier. You should probably reassess whether to do these for Medicare patients, since you do them for free in an ASC. Google 'NCCI edits' and you will be on your way to finding the CMS zipped downloads. Also google 'Final ASC Covered Surgical Procedures for CY 2010' to find your way to CMS zipped downloads for ASC covered services.

    Richard Mann, your pain management coder

  3. #3
    Join Date
    Apr 2007


    It has been requested that 62290-62291 be added to the ASC approved list of procedures but they said no. Here is their response.


    Response: We consider the
    procedures coded 62290 and 62291 to
    be integral to radiologic studies and are
    never performed alone and, as such, are
    not appropriate for addition to the ASC
    list. Radiologic studies that do not
    include an intervention are not
    considered surgical procedures and are
    not included on the list of ASC
    procedures. The procedures that are
    currently included on the ASC list that
    the commenters have chosen for
    comparison, CPT codes 62287 and
    62294, are interventional procedures
    and are, therefore, not valid
    comparatives for this purpose.

Similar Threads

  1. Failed Discography
    By Sarreenah in forum Modifiers
    Replies: 2
    Last Post: 02-15-2012, 06:54 AM
  2. Discography with therapeutic intradiscal injection
    By HBROCKMAN in forum Anesthesia
    Replies: 2
    Last Post: 09-03-2010, 08:28 AM
  3. Discography in office setting
    By IRISHCODER in forum Orthopaedics
    Replies: 0
    Last Post: 07-21-2010, 04:36 PM
  4. Discography code 62290/62291
    By tcraig in forum Anesthesia
    Replies: 2
    Last Post: 11-11-2009, 11:32 AM
  5. Discography Coding
    By bonzaibex in forum Interventional Radiology
    Replies: 3
    Last Post: 07-08-2009, 01:08 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.