Pain Management Coding Alert

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Tips, Strategies and Guidelines for Accurately Coding Pain Management Procedures! 

ICD-10 implementation is on every healthcare professional’s mind, but don’t forget about another important round of changes you need to master: CPT® updates for 2016, HCPCS changes, modifier updates, and the latest NCCI edits. Above all, you want to verify that you aren’t a target for non-compliance audits.

2016 CPT® Code Changes for Pain Management

Big changes are here for epidurals, and paravertebral facet nerve destruction. The way you report these services in 2016 is very different from your previous claims. For instance, you now have three new choices for paravertebral/paraspinous blocks.

RVU Reductions Might Hit Your Reimbursement

This year, you won’t be dealing with the overwhelming conversion factor cuts of previous years. But some other changes in the Medicare Physician Fee Schedule Final Rule for 2016 could be just as painful to your bottom line, thanks to a revamp of RVU valuations.

ICD-10 Code Changes under Pain Management

ICD-10 is here. It’s time to see whether your practice truly is ready to start reporting ICD-10-CM codes on “live” claims and how your reporting will affect your bottom line. Start by getting to know the ICD-10 changes that will come into play most often for your pain management claims. The most important thing you need is knowledge of how to use the 69,000 new codes. You’ll have more codes — and more specific options — for some diagnoses under ICD-10, such as when you report neck sprain based on spinal location and the affected anatomic structures, or when you rely on laterality details for reflex sympathetic dystrophy coding.

That’s why you should keep yourself up-to-speed with Pain Management Coding Alert! Every month our veteran coding editor Leigh DeLozier, CPC, brings to you the latest on ICD-10, CPT® and CCI changes; how-to articles for coding different pain management procedures; case studies, and practical questions from in-the-trenches coders.

Every month, you’ll glean valuable insights for everyday situations such as:

  • Meet these 7 criteria to prepare for ICD-10 documentation changes.
  • Latest CPT® code changes for 2016.
  • Learn significant shifts to some injection codes in 2016.
  • Learn how RVU reductions might hit your reimbursement.
  • Can multiple E/M codes for different specialties be ok?
  • Know state guidelines for 90-day Med supplies.
  • Difference between ‘new’ and ‘established’'.
  • Watch patient's status in conjunction with E/M.
  • Know documentation in order for modifier 52 claims.
  • ICD-10: Coding diagnoses for spinal nerve root injuries. Get details.
  • ICD-10 provides separate sprain and strain codes.
  • ICD-10: Be aware of what R53.82 will — and won’t — include for chronic fatigue syndrome.
  • Do you know the new criteria for prescribing hydrocodone combo meds?
  • CCI Edits: Latest coding bundles for joint injections and fluoro guidance.
  • Know which code to use when reporting dupuytren’s contracture care.
  • Remember these 5 important things when coding post-op pain control injections.
  • And much more…


Subscribe now to Pain Management Coding Alert for on-target, timely advice that helps you file error-free claims and obtain right reimbursements — and won’t break your budget.

And, as always, you are protected by our 100% Money-Back Satisfaction Guarantee. You have nothing to lose and a wealth of coding and compliance knowledge to gain. So call 1-800-508-2582 today to start receiving all of the coding answers your team will ever need.

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