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lcole7465

Recent content by lcole7465

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Attempted TFESI with LESI

Thank you
- lcole7465
- Post #3
- Apr 30, 2024
- Forum: Anesthesia
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Attempted TFESI with LESI

According to the note, my provider attempted a TFESI @ level L4-L5 but because of the anatomy and previous surgeries it was impossible to proceed, so the procedure was switched to an LESI @ levels L5-S1. My question is can I bill for the TFES (CPT 64483) as discontinued with modifier -53? There...
- lcole7465
- Thread
- Apr 30, 2024
- Replies: 2
- Forum: Anesthesia
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Wiki ITP Catheter Revision

Quick question - so my provider when he does an IPT pump replacement, he has been noting he's also doing a catheter revision. His note is: " I noted the catheter portion that connected the pump to the catheter is not well maintained so we decided to remove this portion. There was free flow of...
- lcole7465
- Thread
- Apr 3, 2024
- Replies: 0
- Forum: Anesthesia
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Wiki Cosentyx - J3490 Wasted medications

One of my providers has started using Cosentyx and is billing with J3490. However, there is a wasted medications and I've never billed for wasted medications with J3490 (unlisted). Does anyone have any directions for billing units and $$$ amounts? Thank you
- lcole7465
- Thread
- Mar 14, 2024
- Replies: 1
- Forum: Rheumatology
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Wiki MBB T11-T12, T12-L1

Hello all - just need a little verification on this level for coding. The provider is performing an MBB @ T11-T12, T12-L1. I believe the correct code set would be: 64490, 64491. Any input would be greatly appreciated. Thank you
- lcole7465
- Thread
- Jan 29, 2024
- Replies: 1
- Forum: Anesthesia
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Wiki Injection for Bertolotti's Syndrome

I'm looking the CPT code for an injection for Bertolotti's syndrome. The procedure is documented: "The area was prepped with chlorhexidine in the regular sterile fashion technique. Local anesthetic administration using a 25 G needle then We used an image intensifier to locate the joint between...
- lcole7465
- Thread
- Nov 28, 2023
- Replies: 0
- Forum: Anesthesia
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Wiki MBB Injection

Thank you... I just want to make sure that I'm relaying the correct information...He is doing the injection at levels T12-L1, L1-L2 to block L1-L2, L2-L3 lumbar levels...
- lcole7465
- Post #4
- Nov 7, 2023
- Forum: Anesthesia
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Wiki MBB Injection

Thank you
- lcole7465
- Post #3
- Nov 2, 2023
- Forum: Anesthesia
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Wiki MBB Injection

The provider performed an MBB at levels T12-L1, L1-L2. Per the coding guidelines T12-L1 should be coded as 64490... I know he's doing the injection for the lumbar nerves and I have coders saying it should be 64493-64494. Please provide some clarification on this ongoing issue. TIA
- lcole7465
- Thread
- Nov 2, 2023
- Replies: 4
- Forum: Anesthesia
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Wiki Botox injections for Migraines

I'm looking for a little input... I have always billed 64615 for botox injections for chronic migraines. Our office is asking me, since another provider bills 64612, 64616 for the injections for migraines. Below is a copy of the procedure note. I know the 64615 was created more specifically for...
- lcole7465
- Thread
- Jul 28, 2023
- Replies: 1
- Forum: Anesthesia
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Wiki Facet Joint Injections LCD Policy Question

My provider has started documenting for a 2nd diagnostic MBB injection and according to the LCD policy - "The KX modifier should be appended to the line for all diagnostic injections. In most cases the KX modifier will only be used for the two initial diagnostic injections. If the initial...
- lcole7465
- Thread
- May 18, 2023
- Replies: 1
- Forum: Medicare Regulations
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Wiki Intrathecal Pain Pump Refill Medication

Hello - I need some help in getting some information to provide to get our pain pump medication refills paid. We have received recoupment requests from insurance stating that Non-FDA approved drugs were used. According to our billing department, they want us to bill each drug individually with...
- lcole7465
- Thread
- Mar 9, 2023
- Replies: 0
- Forum: Anesthesia
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Wiki SCS Generator Replacement w/new pocket created

The doctor I code for did a SCS generator replacement with a new pocket and I want to make sure I'm coding it correctly. It looks like there is now a CCI edit for CPT 63685, 63688. Previously, we have coded for the new pocket with 64999. The report reads: The electrodes were then connected and...
- lcole7465
- Thread
- Nov 10, 2022
- Replies: 1
- Forum: Anesthesia
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Wiki Spinal Cord Stimulator Electrodes Implant - Anthem denial

I have been recently been receiving denials from Anthem denials on the SCS Electrodes implants. We bill CPT 63650 x2 (the doctor is placing 2 leads). We get an authorization for 2 leads and they keep denying the 2nd lead. As far as I've seen, the coding hasn't changed as this shouldn't require a...
- lcole7465
- Thread
- Oct 11, 2022
- Replies: 6
- Forum: Anesthesia
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Wiki Medicare denial Benlysta

The med is not being self administered, it is being administered via IV-infusion. I believe the claim should just need to be appealed with the office notes showing this was not self-administered by the patient but by infusion by the provider. Thank you
- lcole7465
- Post #3
- Apr 18, 2022
- Forum: Rheumatology

lcole7465