July 19, 2018 9am PDT | 10am MDT | 11am CDT | 12pm EDT
Presented by: Amanda Morrison, MBA, CPC, CPC-I, CASCC
Reimbursement Specialist Vertos Medical
Minimally Invasive Lumbar Decompression (mild®) is a safe procedure designed to treat patients with lumbar spinal stenosis (LSS) who exhibit neurogenic claudication (NC) symptoms (pain, numbness, tingling, discomfort, weakness and/or heaviness in the legs). Under indirect image guidance (e.g. fluoroscopic, CT), physicians use specially designed instruments to percutaneously debulk the hypertrophied ligamentum flavum restoring space to the spinal canal and alleviating the patient’s NC symptoms.
Effective for procedures performed on or after February 16, 2017, the Centers for Medicare & Medicaid Services (CMS) established national coverage for the mild® procedure under the national coverage determination (NCD) 150.13, Percutaneous Image-Guided Lumbar Decompression (PILD) for LSS. The mild® procedure is now covered for Medicare patients nationwide under a CMS-approved claims analysis study that will passively collect and analyze real-world data to demonstrate the role of the therapy in the continuum of care for LSS.
The mild® procedure is becoming a widely adopted therapy used by Interventional Pain Specialists and Anesthesiologists in the continuum of care for patients with LSS. Similar to many pain procedures, mild is subject to detailed billing requirements and conditional payor coverage policies. This webinar is designed to prepare you with the coding and billing essentials to accurately submit claims and secure timely reimbursement.
Who should attend?
- Anesthesiologists, Interventional Pain Specialists and Physical Medicine and Rehabilitation physicians who deliver interventional pain services and procedures.
- Other providers, administrators, managers, billers and coders involved in pain management.
Learning Objectives for this 60 minute Webinar
Upon completion of this webinar, participants will be able to:
- Describe LSS, the symptoms and how the mild® procedure works
- Define the participant eligibility requirements
- Apply Medicare’s coding rules when selecting CPT codes, diagnosis codes, modifiers and condition codes
- Populate the specific 8-digit clinical trial number to the paper CMS 1500 and UB-04 claim forms and electronic claim form counterparts
- Explain physician and facility reimbursement and payer trends
- Understand current payer coverage policies and pre-authorization requirements