Coding guide for CPT code 64400-64448 ( nerve injection procedures)

Basics of CPT code CPT code 64400 – 64448 The physician injects one or more anesthetic agents and/or steroids near a branch of the trigeminal nerve (ophthalmic, maxillary, or mandibular) in CPT code 64400 or the greater occipital nerve in 64405. The trigeminal nerve supplies sensory and motor fibers to the face, and is usually blocked superficially. The greater occipital nerve supplies sensory fibers to the scalp; nerve blocks are often administered to provide relief from occipital neuralgia, migraines, and chronic headaches. The physician draws a local anesthetic and/or steroid…

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CPT code 93306/93307; Coding tips for Echocardiography (ECG/EKG)

Best Coding tips for CPT code for Echocardiography

Basics of CPT code 93306/93307 Echocardiography/Electrocardiography There are different CPT codes for Echocardiography in medical coding. They are mainly divided into transthoracic and transesophageal echocardiogram. If you are new to coding echocardiography, this article will be very helpful for gaining knowledge about CPT code for echocardiography/electrocardiography (ECG or EKG). Procedure or CPT code 93303, 93304, 93306, 93307 and 93308 are used for coding 2d echocardiogram. We will discuss the techniques and the full code description of all the echocardiogram CPT codes. Also, you will be able to understand the difference…

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Best Coding tips for CPT code 62270 & 62272 (Lumbar Puncture)

CPT code for Lumbar Puncture

Basics about 62270 CPT code (Lumbar Puncture) A lumbar spinal puncture is performed for diagnostic or therapeutic purposes. A lumbar puncture (spinal tap) is performed in your lower back, in the lumbar region. During a lumbar puncture, a needle is inserted between two lumbar bones (vertebrae) to remove a sample of cerebrospinal fluid. This is the fluid that surrounds your brain and spinal cord to protect them from injury. We have separate CPT code for lumbar puncture in medical coding. CPT code 62270 and 62272 are used for coding lumbar/spinal puncture  procedures.  We have learnt about coding spinal injection, which are now…

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Amazing tips for CPT code 22853, 22854 and 22859

Amazing tips for New CPT codes +22853, +22854 and +22859

Basics of CPT code CPT code 22853, 22854 and 22859 A procedure is performed to decompress the spinal cord and nerves and restore intervertebral disc space and anatomic alignment with insertion of an intervertebral biomechanical device. Surgical immobilization of the spine by fusing adjacent vertebrae (arthrodesis) and/or removing all or part of a vertebral body (corpectomy) may be done for degenerative disc disease, spinal stenosis, or bone spurs (osteophytes). The intervertebral biomechanical device is usually a cylindrical or square-shaped synthetic cage that can be packed with autogenous bone material to promote…

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Best Coding Tips for CPT code for Sleep Study

Best Coding Tips for CPT code for Sleep Study

Basics of CPT code for Sleep study Today we will learn about CPT code for Sleep Study. We have different set of procedure codes for coding these sleep study procedures. We have even HCPCS codes as well for coding these exams. Depending on the payer’s requirement we have to use HCPCS codes. Earlier we have learnt about coding wound debridement procedures, angiography procedures, lysis of adhesion coding etc. All these procedures are little tricky to learn. But, with continuous use of these procedures codes you can become familiar with these…

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CPT code 10060, 10061, 10080 & 10081: Incision and Drainage Coding

When to use CPT code 10060, 10061, 10080 & 10081

Basics about CPT code for Incision and Drainage 10060 & 10061 CPT codebook consist all the codes used for different facilities. We have lot of percutaneous procedures like fine needle aspiration, breast biopsy, nephrostogram, cholangiogram, bone marrow biopsy etc. Today, we will try to learn about coding incision and drainage procedure in surgery. CPT code 10060 is used for incision and drainage of a simple or single abscess. Simple lesions are typically left open to drain and heal by secondary intention. And use CPT code 10061 for incision and drainage…

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Selective Catheterization Coding (CPT code 36251,36252,36253 & 36254)

Procedure performed for Renal Artery Catheterization The physician first takes the access into the skin through an underlying artery of lower extremity and introduce a guidewire through the needle. The wire is threaded into the main renal artery or any branch of renal artery. A catheter is introduced through the guidewire and then the contrast material in injected for arteriography. Images are obtained once the contrast is injected.  CPT code 36251, 36252, 36253 and 36254 are used for coding selective catheter placement in renal artery and its branches. In this…

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Coding tricks for CPT code 47531, 47537, 43738, 43739, 43740, 43741 & +43742

Coding tricks for CPT code 47531, 47537, 43738, 43739, 43740, 43741 & +43742

When to use 47531 and 47532 A radiographic medium is injected into the common bile duct, gallbladder, and/or liver for diagnostic purposes. The physician inserts a needle between the ribs into the lumen of the common bile duct and checks positioning by aspiration. Radiographic dye is injected. The needle is removed. This procedure includes imaging guidance and all radiological supervision and interpretation. CPT code 47531 is reported when the service is performed through an existing access, such as a T-tube. CPT code 47532 is reported when the service is performed…

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Coding tips for CPT code 36902, 36903, 36904, 36905 and 36906

Basics of CPT code 36902, 36903, 36904, 36905, 36906 Today we will learn about CPT codes for angioplasty, stent and thrombectomy which includes diagnostic angiography and RS&I like other existing angioplasty procedure codes.  CPT code 36902, 36903, 36904, 36905, 36906 and the add-on CPT code +36907, +36908, +36909, these codes have bundled lot of minor procedures like catheter placement, radiological S&I, contrast injection etc.   So, let us check more about these CPT codes in details This post will help to get more knowledge about coding complex percutaneous procedure. Having a…

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Superb Guide for Abdominal Aortogram with runoff CPT code

Abdominal Aortogram with runoff cpt code

Basic about Abdominal aortogram CPT code 75630 & 75625 In interventional radiology coding, the main procedure is sometimes easy to code as compared to supervision and interpretation cpt code. Vascular procedure coding depends on selective and non-selective catheterization while studying arteries. Coding for vascular catherization procedures is based on the selection of the first, second or third order arteries. Hence, here if you have vascular family (Appendix L) chart in CPT code book, you can easily find the correct code for catheter access. Abdominal aortography CPT ( 75625 & 75630)…

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