New Codes for Pain Management 2015

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2015 Coding Changes New Codes for Pain Management 

Here comes your 2015 Coding Changes New Codes for Pain Management. Become acquainted with them to stay away from dissents in the coming year. You will see these codes are no more billable with imaging direction as a different administration.

6 New Codes for Vertebroplasty or Kyphoplasty Procedure 

22510 – Percutaneous vertebroplasty (bone biopsy included when performed), 1 vertebral body, one-sided or reciprocal infusion, comprehensive of all imaging direction; cervicothoracic

22511 – … lumbosacral

+22512 – … each extra cervicothoracic or lumbosacral vertebral body (List independently notwithstanding code for essential system)

*** (Use 22512 in conjunction with 22510, 22511)

(Try not to report 22510, 22511, 22512 in conjunction with 20225, 22310, 22325, 22327 when performed at the same level as 22510, 22511, 22512)

22513 – Percutaneous vertebral growth, including pit creation (break lessening and bone biopsy included when performed) utilizing mechanical gadget (e.g., kyphoplasty), 1 vertebral body, one-sided or reciprocal cannulation, comprehensive of all imaging direction; thoracic

22514 – … lumbar

+22515 – … each extra thoracic or lumbar vertebral body (List independently notwithstanding code for essential strategy).

*** (Use 22515 in conjunction with 22513, 22514)

(Try not to 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 supplant your Codes 22520 to 22525 

2. These codes are charged and coded one-sided or two-sided. Modifier 50 (Bilateral), Modifier LT, RT (Left and Right) will apply.

3. Modifier 51 does not have any significant bearing to your "extra" codes +22512, +22515 

4. All these 6 codes are comprehensive with "moderate sedation" spoke to by a red "bullseye"

5. Code 22510 with "cervicothoracic" implies you can now charge the cervical district as opposed to picking the unlisted code in 2014 Code 22899 – "unlisted technique, spine".

6. Since the new codes are "comprehensive of all imaging direction" – in 2015, you can no more bill the radiological codes for direction –

72291 – Radiological supervision and elucidation, percutaneous vertebroplasty, vertebral increase, or sacral enlargement (sacroplasty), including depression creation, per vertebral body or sacrum; under fluoroscopic direction

72292 – … under CT direction.

2015 Coding Changes New Codes for Pain Management

Myleography Coding: 

In 2015, we have a reexamined 62284 – "Infusion method for myelography and/or processed tomography, spinal (other than C1-C2 and back fossa)"

*** Revised Description in 2015 

62284 – "Infusion technique for myelography and/or processed tomography, lumbar (other than C1-C2 and back fossa)."

(Try not to report 62284 in conjunction with 62302,62303,62304, 62305, 72240, 72255, 72265, 77270)

Your 4 New Codes through Lumbar Injection Myleography

62302 Myleography through lumbar infusion, including radiological supervision and understanding; cervical

62303 … thoracic

62304 … lumbosacral

62305 2 or more districts (eg lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical)

72265 Myleography, lumbosacral, radiological supervision and translation

(At the point when both 62284 and 72265 are performed by the same doctor or other qualified human services proficient for lumbosacral myelography, utilize 62304)

Medication Screening Codes: 

Hypothetical Drug Class Screening

80300 Drug screen, any number of medication classes from Drug Class List An, any number of non-TLC gadgets or methodology (eg, immunoassay) fit for being perused by direct optical perception, incorporating instrumented-helped with performed (eg, dipsticks, glasses, cards ,cartridges) per date of administration

80301 single medication class strategy, by instrumented test frameworks, (eg, discrete multichannel science analyzers using immunoassay or catalyst examine), per date of administration

80302 Drug screen hypothetical, single medication class from Drug Class List B, by immunoassay (eg, ELSIA) or non-TLC chromography without mass spectrometry (eg, GC, HPLC), every methodology

80303 Drug screen, any number of medication classes persumptive, single or different medication class technique; meager layer chromatography procedure(s) (TLC) (eg, corrosive, nonpartisan alkaloid plate)per date of administration

80304 not generally indicated possible methodology (eg, TOF, MALDI, LDTD, DESI, DART) every system

Complete Drug Testing 

(Utilize 80320-80377 to report complete medication class strategies. Complete testing may be subjective, quantitative, or a blend of subjective and quantitative for the same patient on the same date of administration

82541 Column chromatography/mass spectrometry (eg GC/MS or HPLC/MS) non-drug investigation not somewhere else determined subjective single stationary and versatile stage

82542 Column chromatography/mass spectrometry

82543 Column chromatography/mass spectrometry

82544 Column chromatography/mass spectrometry

(For segment chromatography/mass spectrometry for medications or substances, see Drug Assay 80300, 80301 ,80302 80303 80304 80320-80377 or particular analyzer code(s) in the Chemistry segment.

Joint Injection Codes 

Changed 20600 Arthrocentesis, desire and/or infusion, little joint or bursa (eg, fingers, toes); without ultrasound direction

New Code 20604 with ultrasound direction, with changeless recording and reporting

(Try not to report 20600, 20604 in conjunction with 76942)

(In the event that fluoroscopic, CT, or MRI direction is performed, see 77002, 77012, 77021)

Modified 20605 Arthrocentesis, yearning, and/or infusion, middle of the road joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow, or lower leg, olecranon bursa); without ultrasound direction

New Code 20606 with ultrasound direction, with changeless recording and reporting

(Try not to report 20605, 20606 in conjunction with 76942)

(In the event that fluoroscopic, CT, or MRI direction is performed, see 77002, 77012, 77021)

Changed 20610 Arthrocentesis, yearning and/or infusion, significant joint or bursa (eg, shoulder hip, knee, subacromial bursa); without ultrasound direction

New Code 20611 with ultrasound direction, with changeless recording and reporting

(Try not to report 20610, 20611 in conjunction with 76942)

(In the event that fluoroscopic, CT, or MRI direction is performed, see 77002, 77012, 77021)

Referenc

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