Author Topic: RACZ  (Read 3232 times)

cohenmk

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RACZ
« on: September 16, 2008, 08:56:19 AM »
Hi...I believe we may have been coding the billing for percutaneous lysis of epidural adhesions incorrectly.  Does anyone know the correct way to code the billing for this procedure if done in one day? Can you also bill out the medications separately? Plus the Catagory III code of 0027T...do we also bill this? HELP!!! ??? Thanks so much

Michele

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Re: RACZ
« Reply #1 on: September 16, 2008, 07:55:45 PM »
Hi,
  I'm not sure how you have been billing it but I found the following information:

# CPT code 62263; Percutaneous lysis of epidural adhesions using solution injection (eg, hypertonic saline, enzyme) or mechanical means (eg, catheter) including radiologic localization (includes contrast when administered), multiple adhesiolysis sessions; 2 or more days.

# CPT code 62264; Percutaneous lysis of epidural adhesions using solution injection (eg, hypertonic saline, enzyme) or mechanical means (eg, catheter) including radiologic localization (includes contrast when administered), multiple adhesiolysis sessions; 1 day.

# CPT code 0027T; Endoscopic lysis of epidural adhesions with direct visualization using mechanical means (eg, spinal endoscopic catheter system) or solution injection (eg, normal saline) including radiologic localization and epidurography.

So for one day you should be using cpt code 62264 along with the 0027T.

I hope that helps.

Michele
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cohenmk

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Re: RACZ
« Reply #2 on: September 17, 2008, 08:57:41 AM »
Thanks Michele...however, the 62264 & 0027T cannot be reported together can they? One is percutaneous the other endoscopic...

A biller frm another facility thought you could bill 62264 with 62311....

If we use either 62264 or 0027T...can we also bill the medications in an office setting....

Any input is greatly appreciated...and I just want to thank you for the availability of this forum.

Mary Kaye

Michele

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Re: RACZ
« Reply #3 on: September 17, 2008, 09:35:47 PM »
I actually wondered about that when I was posting my response.  I noticed the difference, but I've never billed these services out myself so I wasn't sure.  So as to the rest of your question I can only make an educated suggestion.  I personally would bill for all services performed, including the medications, along with any appropriate modifiers.  Let the insurance carrier bundle the charges, or deny depending on what they allow.  If you only bill what you think they might pay you will never know.

I'm hoping someone else on the forum has had experience billing for these services and can help us out here.

Thanks
Michele
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