Injection Coding for Orthopedic Situations: Are you selecting the right codes?

Event Information
Product Format
Prerecorded Event
Margie Scalley Vaught, CPC, CPC-H, CPC-I, CCS-P, PCE, MCS-P, ACS-EM, ACS-OR
Conference Date
Tue, Oct 10, 2017
60 minutes
Product Description

Understand the Differences Between the Most Commonly Used Injection Codes

Coding and billing for the different types of injections and for injectable medication has its own challenges. Healthcare providers continue to lose money by not assigning the correct number of units for their injectable drugs. Documentation must clearly support how many ‘mgs’ were injected, and if you are using ‘ccs’, you may have the wrong number of units. Also, if you are not getting advance beneficiary notices (ABNs), or waivers for these injections, you risk receiving no payment for services rendered.

Join this session where expert speaker Margie S. Vaught, will discuss the correct way to document and bill for injectable medication. You will learn about the difference between trigger point injections vs. tendon origin/insertion and tendon sheath injections so that correct coding can take place. Margie will discuss the new changes regarding the use of imaging guidance and how that will affect your coding. You will also be provided with supporting documentation from official sources, such as CMS, AMA/CPT, as well as payer/carrier options. 

Session Highlights
This session will help you understand:

  • Differences between most commonly used injection codes
  • Ensuring correct documentation, as it relates to performing injections under imaging guidance
  • How to correctly document the actual injection and medication being injected
  • Checking with payers/carriers regarding local coverage determinations (LCDs) for:
    • Trigger point injections
    • Intra-articular injections and other injections
  • The issues related to performing these injections under imaging guidance

Session Agenda
This session will discuss: 

  • Injections
    • 20550 and 20551
    • Trigger points
    • Tendon origin/insertion
    • 20552 and 20553
    • Ganglion
    • Intra-articular joint – bursa
  • Revised existing codes
  • Documentation issues
    • Knee injection documentation
  • CCI issues
  • Payer issues
  • Morton’s Neuroma
  • Misc. injections
    • Injections at end of procedures
    • PRP
  • CPT Assistant
  • AAOS & CMS issues
  • Injection documentation
    • Dosage amounts
  • Trigger point injections LCDs
  • Modifiers -25
  • And more

Who Should Attend

  • Coders
  • Billers
  • Office managers
  • Practice manager
  • Therapists

Ask a question at the Q&A session following the live event and get advice unique to your situation, directly from our expert speaker.

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About Our Speaker

Margie Scalley Vaught - Wound Care Coding Expert

With over 30+ years’ experience in the Healthcare arena, in positions from nurse’s aide to ward clerk and medical transcriptionist to office manager, Margie Scalley Vaught, CPC, CPC-H, CPC-I, CCS-P, PCE, MCS-P, ACS-EM, ACS-OR, understands how offices are structured.  Margie spent twenty years in the field of Orthopedics.  She obtained Certified Professional Coder (CPC) designation in 1995 from the American Academy of Professional Coders (AAPC), where she served...   More Info
More Events By The Speaker

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