CCI Edits
In case your practice offers neurostimulion services, you must note these changes.
CCI edits 18.0, effective Jan.1, brings significant changes that could influence your coding for some particular orthopedic services. Our experts advise you on what's critical in the latest round.
Look for Neurostimultors and Epiphyseal Bar Excision Adjustments
As per lestest CCI edits, you can no report neurostimulator electrode array placement, pulse generator implantation, as well as revision or removal of these together with epiphyseal bar excision code 20150 (Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision).
Pediatric orthopedicians may have the occasional chance of using these codes. Removal of an epiphyseal bar is carried out for growth disturbances in long bones owing to premature fusion of a portion of the growth plate. This can take place because of trauma or infection that leads to the fusion of the epiphysis to the metaphysis. In the rare circumstance that the neurostimulator electrodes and generator are applied for postoperative pain control, NCCI guidelines would probably bundle the procedure. Were the electrodes implanted for an unrelated diagnosis, for instance chronic low back pain, the 59 modifier would be applicable.
Keep in mind that 20150 is the column 1 code in this edit. The following codes are the column 2 codes according to CCI Edits 18.0:
CCI edits 18.0, effective Jan.1, brings significant changes that could influence your coding for some particular orthopedic services. Our experts advise you on what's critical in the latest round.
Look for Neurostimultors and Epiphyseal Bar Excision Adjustments
As per lestest CCI edits, you can no report neurostimulator electrode array placement, pulse generator implantation, as well as revision or removal of these together with epiphyseal bar excision code 20150 (Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision).
Pediatric orthopedicians may have the occasional chance of using these codes. Removal of an epiphyseal bar is carried out for growth disturbances in long bones owing to premature fusion of a portion of the growth plate. This can take place because of trauma or infection that leads to the fusion of the epiphysis to the metaphysis. In the rare circumstance that the neurostimulator electrodes and generator are applied for postoperative pain control, NCCI guidelines would probably bundle the procedure. Were the electrodes implanted for an unrelated diagnosis, for instance chronic low back pain, the 59 modifier would be applicable.
Keep in mind that 20150 is the column 1 code in this edit. The following codes are the column 2 codes according to CCI Edits 18.0:
- 0282T – (Percutaneous or open implantation of neurostimulator electrode array(s), subcutaneous (peripheral subcutaneous field stimulation), including imaging guidance, when performed, cervical, thoracic or lumbar; for trial. Including removal at the conclusion of trial period)
- 0283T – (Percutaneous or open implantation of neurostimulator electrode array(s), subcutaneous (peripheral subcutaneous field stimulation), including imaging guidance, when performed, cervical, thoracic or lumbar; permanent, with implantation of a pulse generator)
- 0284T – (Revision or removal of pulse generator or electrodes, including imaging guidance, when performed, including addition of new electrodes, when performed)
Once you have a patient with multiple comorbidities being treated for an epiphyseal bar, you can ahead and report multi-layer compression with modifier 59 (Distinct procedural service).
Adjust Multi-layer Compression Coding
As per the latest CCI edits , you report the application of multi-layer compression with 20150. Here yet again, 20150 is a column 1 code. You report the following column 2 codes, with apt modifier, if these are carried out in the same session and in case suitable documentation supports the same.
- 29582 – (Application of multi-layer compression system; thigh and leg, including ankle and foot, when performed)
- 29583 – (Application of multi-layer compression system; upper arm and forearm)
- 29584 – (Application of multi-layer compression system; upper arm, forearm, hand, and fingers)
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