2015 Coding Changes New Codes for Pain Management
Nov30

2015 Coding Changes New Codes for Pain Management

Here comes your 2015 Coding Changes New Codes for Pain Management. Get to know them to avoid denials in the coming year. You will see these codes are no longer billable with imaging guidance as a separate service. 2015 Coding Changes New Codes for Pain Management 6 New Codes for Vertebroplasty or Kyphoplasty Procedure  22510 – Percutaneous vertebroplasty (bone biopsy included when performed), 1 vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance; cervicothoracic 22511 – … lumbosacral +22512 – … each additional cervicothoracic or lumbosacral vertebral body (List separately in addition to code for primary procedure) *** (Use 22512 in conjunction with 22510, 22511) (Do not report 22510, 22511, 22512 in conjunction with 20225, 22310, 22325, 22327 when performed at the same level as 22510, 22511, 22512) 22513 – Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (e.g., kyphoplasty), 1 vertebral body, unilateral or bilateral cannulation, inclusive of all imaging guidance; thoracic 22514 – … lumbar +22515 – … each additional thoracic or lumbar vertebral body (List separately in addition to code for primary procedure). *** (Use 22515 in conjunction with 22513, 22514) (Do not report 22513, 22514, 22515 in conjunction with 20225, 22310, 22315, 22325, 22327 when performed at the same level as 22513, 22514 ,22515) Keypoints: 1. These codes will replace your Codes 22520 to 22525 2. These codes are billed and coded unilateral or bilateral. Modifier 50 (Bilateral), Modifier LT, RT (Left and Right) will apply. 3. Modifier 51 does not apply to your “add-on” codes +22512, +22515 4. All these 6 codes are inclusive with “moderate sedation” represented by a red “bullseye” 5. Code 22510 with “cervicothoracic” means you can now bill the cervical region rather than choosing the unlisted code in 2014 Code 22899 – “unlisted procedure, spine”. 6. Since the new codes are “inclusive of all imaging guidance” – in 2015, you can no longer bill the radiological codes for guidance –  72291 – Radiological supervision and interpretation, percutaneous vertebroplasty, vertebral augmentation, or sacral augmentation (sacroplasty), including cavity creation, per vertebral body or sacrum; under fluoroscopic guidance 72292 – … under CT guidance. 2015 Coding Changes New Codes for Pain Management Myleography Coding: In 2015, we have a revised 62284 – “Injection procedure for myelography and/or computed tomography, spinal (other than C1-C2 and posterior fossa)” *** Revised Description in 2015 62284 – “Injection procedure for myelography and/or computed tomography, lumbar (other than C1-C2 and posterior fossa).” (Do not report 62284 in conjunction with 62302,62303,62304, 62305, 72240, 72255, 72265, 77270) Your 4 New Codes via Lumbar Injection Myleography 62302 Myleography via lumbar...

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