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Thread: Category II & III Codes

  1. #1
    Join Date
    Apr 2007

    Default Category II & III Codes

    AAPC: Back to School
    Does anyone know when it would be appropriate to use Category II & III codes for Anesthesia or Pain Management billing....not really sure at this point we do not use them at all in our billing was just wondering if we can or should be....THANKS

  2. #2
    Join Date
    Apr 2007


    Category II---Quality measures/PQRI
    Category III---Transforminal or Facet utilizing ultrasound guidance are the main codes that come to mind


  3. #3
    Join Date
    Apr 2007
    Denver Colorado


    If there is a category III CPT code that describes the service / procedure performed, it must be reported rather than an unlisted category I CPT code. See the section guidelines.

    Pain management has several potential category III codes, including codes for spine injections performed with ultrasound needle guidance.

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