Advanced Pain Management Procedural Coding

Event Information
Product Format
Prerecorded Event
Amy Turner, RN, BSN, MMHC, CPC
60 minutes
Product Description

Advanced Pain Management Procedure Coding and the Reimbursement Changes for 2017

In this session, expert speaker Amy Turner, RN, BSN, MMHC, CPC will address common challenges with coding advanced pain management procedures including spinal cord stimulation, intrathecal drug delivery (trial, implant and refills), kyphoplasty and vertebroplasty. You will get to know the reimbursement changes for 2017, plus get tips on where to locate information in a procedure note as well as receive resources that will assist with coding these complex cases.

Amy will also talk about topics such as medical necessity for neuromodulation and clear up the confusions that exist regarding appropriate CPT codes. Additionally, you’ll understand if the leads are billable in a spinal cord stimulator trial, and get a better understanding of intrathecal drug delivery.

Session Highlights:

  • Medical Necessity for neuromodulation- Is the patient diagnosis medically necessary for this procedure?
  • Get clarity on appropriate CPT® codes to report for SCS revision and replacement—both for pulse generator and the leads themselves.
  • Are the leads billable in a spinal cord stimulator trial?
  • Intrathecal Drug delivery- which codes to use for trial in office single shot trial, inpatient trial with epidural catheter placement, and surgical placement of catheter and pump.
  • What is the difference between kyphoplasty and vertebroplasty?
  • Medical necessity for kyphoplasty and vertebroplasty and what is billable in an office setting.
  • Intrathecal Drug refills—which code to use for programmable versus non programmable pumps?
  • Understand billing for medication used during pump refills
  • What code should you use for using fluoroscopic guidance for pump refill?
  • What code should you use for ultrasound guidance during pump refills?
  • Is imaging retention required?

Session Snapshots:

  • Introduction to Spinal Cord Stimulation
  • Common ICD-10 Codes
  • LCD and Payer Policies
  • Trial Coding
  • Percutaneous Lead
  • External Trialing System
  • Permanent Implant Coding
  • Insertion of Pulse Generator
  • Complications/Revisions
  • Routine Encounter Complication ICD-10
  • Removal Percutaneous Lead(s)
  • Documentation of programming
  • Intrathecal Drug Delivery

Who should attend?

Medical coders, medical billers, physician office managers and personnel and pain physicians

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About Our Speaker

Amy Turner

Amy Turner, RN, BSN, MMHC, CPC has worked most of her career in the Pain Management field.  Her focus is on compliance and appropriate documentation.  She holds a Bachelor of Science in Nursing and Master of HealthCare Management from Vanderbilt University in Nashville.  Amy’s combination of clinical experience and coding & billing offers insights that speak well to both the clinician and the billing & coding expert.

Amy has 19 years...   More Info
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