3-Hour Virtual Seminar Pain Management Coding-Beginning to End

Overview:

Trigger point injections-use of ultrasound guidance-are payers covering this? Are there limitations on how many trigger points can be performed in a specified period of time?

• Chemodenervation for chronic migraine headache and spasmodic torticollis-proper -documentation/billing of medication administered is essential
• Genicular Nerve block and destruction-Why do you not code these differently?
• Facet/MBB block and destruction-How do you correctly count the levels? What modifiers do you use? How do you code a "periarticular" injection?
• Transforaminal Epidural Steroid/Selective nerve root block-bilateral versus multi-level coding
• Stellate Ganglion and Lumbar Sympathetic blocks-don't forget to bill for fluoro
• Intercostal nerve block versus paravertebral (TAP) block
• Which viscosupplementation products are billed per dose versus per milligram
• Appropriate reporting of JW modifier
• Reporting single dose vials versus multi dose vials
• How do you bill those pesky "caines"
• Coding Contrast
• Coding Steroids
• What to look for in a procedure note
• Medical Necessity for neuromodulation-Is the patient diagnosis medically necessary for this procedure?
• Clear up confusion regarding the appropriate CPT codes to report for SCS revision and replacement-both for pulse generator and the leads themselves
• Are the leads billable in a spinal cord stimulator trial?
• Intrathecal pump refills, "pump trials", pump implantation, revision and removal
• What is the difference between kyphoplasty and vertebroplasty? We will discuss medical necessity for each procedure as well as what is billable in an office setting
• Billing Moderate sedation for each procedure

Why should you Attend: Pain management is a specialty focused on minimizing the pain our patients experience daily. Providers offer a host of different procedures that have the potential to alleviate this pain. Once these procedures are completed, it is up to the provider and billing staff to make sure that these procedures are translated into the correct CPT codes. 

Correct coding is essential to maximize reimbursement. In this 180-minute session we will discuss multiple procedures and scenarios that are performed in the pain management office, ambulatory surgery center and outpatient hospital. We will discuss pain procedures from the less invasive to more complicated procedures. Proper counting multi-level procedures versus bilateral procedures as well as when to use modifiers will be presented as well. 

Medication coding is as important as procedure coding. The calculations can be tricky! We will discuss drug dosages to billed unit calculations. MATH is involved! What should you look for in an office note or procedure not to make sure the medications are captured? Medicare and many other payers require the use of JW modifier effective January 1, 2017. We will discuss when you should and should not use this modifier. Documentation of medications in the record will be discussed as this is key to correct coding. You will be confident of where to look in the record and the HCPCS book for information related to billing units. 

We will address common challenges with coding advanced pain management procedures including spinal cord stimulation, intrathecal pumps, kyphoplasty and vertebroplasty.