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Diagnosis Coding Excludes 1 Codes
Our physicians list their diagnosis codes in the Assessment section of their notes. They link the diagnosis codes to the charges in our EHR. We receive a claims submission edit stating the two diagnosis codes may not be reported together. We review the rules and find the codes have an “Excludes 1” relationship. Our question is, should we remove the diagnosis code that is listed as the “Excludes 1” from the Assessment section of the note when correcting the claim based on the guidelines.
New to Pain Management
Pain Management is a brand-new service line for our practice, we have 20 Orthopaedic surgeons (one is interventional ortho/pain management). We just purchased a C-Arm and are using it in the office. The pain management surgeon was using this at the outpatient surgical facility. Is there anything specific regarding billing for the C-Arm for place of service 11 (office) that we should be aware of?
APRN Billing Inquiry
We have an APRN joining our practice, can you please confirm which pain management procedures they are allowed to perform. Are they allowed to perform all procedures except RFA procedures?
E&M with Injections: Two Diagnoses
If we have an established patient where the physician evaluates the patient and decides to give an injection. The physician documents two diagnoses. May we report an E&M with the injection because we have two diagnoses?
E&M With Injection: What If We Want to Code Based on Time?
We have a recent case where a patient returned with return of pain about five months after a previous injection. The physician evaluates the patient noting no new injury, no changes in his exam findings and decides to re-inject the patient’s knee without additional treatment options discussed. We shared with the physician that the E&M was not separately reportable. The physician asked, ‘what if I code based on time, is it reportable then?” We are unsure if this makes a difference or not. Will you address this question?
E/M Visit and CPM Services
Can you bill E/M level 99202-99215 in conjunction with CPM codes (Chronic Pain Management)
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