On October 1st 2018, it appears CMS plans to delete M79.1 Mylagia which also has a current inclusion note of myofascial pain syndrome which is a common code for trigger point injections, they plan to replace it with M79.10, M79.11, M79.12, M79.18 Check back for updated information on this code.
CMS Proposes New Add-On Code That Will Finally Pay Interventional Pain Specialists For The Complexity Of The Care They Provide
As part of the proposed 2019 CMS changes in how Medicare will pay for Evaluation & Management (E/M) Codes, CMS has created a new code that may be “added-on” to each E/M code billed by any of ten specified medical specialties. The “add-on” code is GCG0X and its CPT descriptor is “Visit complexity inherent to E/M associated with endocrinology, rheumatology, …
Educational Series: Tips to Help You Succeed – Part 1
COMMON MISTAKES WHEN CODING FACET INJECTIONS by Stephanie Thomas, CANPC Mistake #1: Not Using Imaging Imaging guidance and localization for facet injections is included in the code descriptors and is required. Fluoroscopy and CT guidance are not separately billable. If ultrasound guidance is used, use category three codes. Mistake #2: Reporting bilateral injection rather than an add on code for …