Injections - Trigger, Tendon, Intra-articular - Are You Selecting the Right Codes for Injection and Correct HCPCS Code for Injectable Medication?

Event Information
Product Format
Prerecorded Event
Margie Scalley Vaught, CPC, CPC-H, CPC-I, CCS-P, PCE, MCS-P, ACS-EM, ACS-OR
60 Minutes
Product Description

Demystify the Differences between the Injection Codes That Are Most Commonly Used

Injection coding is notorious for its complexities, and the confusion surround the coding and reimbursement for injections is related to coding and payor rules, reporting of evaluation and management (E&M) services, and lack of proper documentation.

During this session, expert speaker Margie Scalley Vaught will discuss about the difference between trigger point injections vs. tendon origin/insertion and tendon sheath injections, to help you code them correctly. She will show you the correct way to document and bill for injectable medication. Offices continue to lose money by not assigning the correct number of units for their injectable drugs. Documentation must clearly support how many ‘mgs’ was injected, if they are doing ‘ccs’ you may have the wrong number of units.

Also, are you getting ABNs, or waivers for these injections? If not you could risk receiving NO payment for services rendered. Plus, Margie will also be providing supporting documentation from official sources, such as CMS, AMA/CPT, as well as payer/carrier option.

Topics covered in the session:

  • Differences between the injection codes that are most commonly used
  • Documentation guides for specific payers regarding ICD-9 and CPT® linkage issues
  • How to correctly document the actual injection and medication being injected correctly
  • LCDs for trigger point injections, intra-articular injections and other injections, etc
  • Issues related to performing these injections under imaging guidance
  • The list of various kinds of injections
  • What is tender origin/insertion?
  • Various codes for injections with examples
  • Morton’s Neuroma
  • Injections at end procedures
  • CPT® Assistant
  • AAOS and CMS issues
  • How to document injections?
  • What are wasted drugs?
  • Specific issues faced during ICD-9
  • Xiaflex documentation
  • Imaging guidance
  • Ultrasonic guidance for knee injections
  • What are the 2015 changes in codes?
  • Modifier 25 – the usage

Who should attend: Coders, Billers, Office Managers, Practice Manager, Therapist

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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
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