Wednesday, April 27, 2011

PM claims: Go with the latest HCPCS codes

Go with the latest HCPCS codes


You are a pain management coder and you are facing new CPT codes for posterior intrafacet implants, paravertebral facet joint injections, and sacroplasty. But as you gear up to implement these changes, don’t overlook  changes to HCPCS codes for bolulinim toxin injections and implantable neurostimulator electrodes.

You will have to double check calculations before filing claims what with a new code for botulinum toxin type A and revisions to the older codes for botulinum toxin types A and B.

The latest addition to your botulinum toxin choices is J0586.

HCPCS 2010 brings about revisions to the existing botulinum toxin codes. The new descriptors are J0585 -- Injection, onabotulinumtoxinA, 1 unit, J0587 -- RimabotulinumtoxinB, 100 units.

The change is important for various reasons. One reason is it emphasizes that the medications are not interchangeable by structuring the codes differently, it differentiates botox from Dysport, it simplifies fee calculations because of separate codes.

Also, you’ll do well to know that a change to L8680 will have a big impact on your coding if you bill an office site of service setting. The previous descriptor for L8680 read Implantable neurostimulator electrode, each. The new descriptor effective with HCPCS 2010 is Implantable neurostimulator electrode (with any number of contact points), each.”

As a pain management coder, you’ll certainly stand in good stead if you stay up to date on these codes. If you are unsure where you can go to for the latest on HCPCS codes, the best bet would be to go for a one-stop coding website where you can discover a sea of information pertaining to HCPCS codes.