Three significant changes that will affect reimbursement rates go into effect January 1, 2026:
Conversion factor changes
Relative Value Unit (RVU) efficiency adjustment
Practice Expense changes
If you're a Find-A-Code subscriber, there's no need to worry. Find-A-Code's fee calculators are ready for the change. You can count on Find-A-Code for the most complete and accurate information you need as a medical coder/biller.
Reader Question: Documentation Is Crucial to Reporting Bilateral Injections
Question: One of the pain management specialists submitted the following documentation:
"Utilizing fluoroscopic guidance in the vertical plane, we were able to appreciate the pedicle, bilateral L4-L5. The skin was anesthetized superficially and deeply utilizing lidocaine 1% without epinephrine or preservatives in a 25-gauge 1-1/2-inch needle. A 23-gauge spinal needle was advanced to the 6 o’ clock position of the pedicle entering the superior aspect of the neural foramen. In the oblique plane of view, the needle was moved into a more anterior position inferior to the pedicle. The needle was in the most superior aspect of the neural...
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