tci Outpatient Facility Coding Alert - 2014 Issue 1

Reader Question: Code for Transforaminal Over Interlaminar ESI During Same Encounter

Question: Our pain management physician wants to bill for an aborted interlaminar epidural steroid injection (ESI) that was converted to a transforaminal ESI due to difficult anatomy. Can he bill for both the aborted injection and the completed transforaminal ESI?Washington Subscriber Answer: When the physician uses two different approaches to accomplish the same goal, it is not appropriate to report both procedures. This is especially true for situations like you face because the physician made injections at the same spinal level, a contiguous anatomical region.  The codes most likely considered in this scenario are: 62310 (Injection[s], of...

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