A 40-year-old patient has severe pain in his lower back. After multiple surgeries, physical therapy, and
various medications without relief, the provider performed percutaneous epidural lysis of adhesions. An
epidural catheter is placed and an epidurography is performed. A series of injections ar...
AAPC CPB : Chapter 7 Practical Application A 40 -year -old patient has severe pain in his lower back. After multiple surgeries, physical therapy, and various medications without relief, the provider performed percutaneous epidural lysis of adhesions. An epidural catheter is placed and an epidurograph y is performed. A series of injections are performed over a span of 3 days. The catheter is removed. Utilize the NCCI edits and MUE edits above. Which of the following is the correct way to report this procedure? :a. 62264 b. 62264 x 2 c. 62263 d. 62263, 62264 - c. 62263 Rationale: The procedure occurred over a three -day period. According to the NCCI edits, 62263 and 62264 cannot be reported together due to the description of the codes. According to the MUE edits, 62263 and 62264 can only be reported once per person per da y. Referring to the code descriptors in the CPT codebook; 62263 is for multiple sessions for 2 or more days and 62264 is for multiple sessions over a 1-day period. This scenario has multiple injections over a three -day period making 62263 the correct code. A patient arrives at ABC Imaging Center with an order for CT Abdomen and Pelvis with contrast. Can 74177 be reported with 74160 for the services performed? a. Yes; the patient is having both a CT of abdomen and also CT of pelvis. b. Yes; you can always report both. c. No; you cannot report both. CPT 74177 would be the only code to report as it includes the CT of both the abdomen and the pelvis. c. No; these two codes can never be reported together. - c. No; you cannot report both. CPT 74177 would be the only code to report as it includes the CT of both the abdomen and the pelvis. Rationale: CPT 74177 would be the only code to apply as it includes the CT of both the abdomen and the pelvis. A patient has Paravertebral facet joint injections with fluoroscopic guidance. It is reported as 64493, 64494, 64495, 64495. According to this excerpt from the MUE table, which code is reported incorrectly? a. 64493 b. 64494 c. 64495 d. None of the above. - c. 64495 Rationale: The MUE table identifies the maximum number of units a procedure can be reported on the same date of service. According to this table, each procedure reported can only be reported once on the same date of service. 64495 is incorrectly reported t wice. According to this excerpt from the MUE table, which procedure can be reported with more than two units on the same date of service? a. 15740 b. 15756 c. 15760 d. 15775 - a. 15740 Rationale: The MUE table identifies the maximum number of units a procedure can be reported on the same date of service. According to this table, 15740 can be reported with up to three units on the same date of service. According to this excerpt from the NCCI edits, which code pair will allow the use of a modifier to bypass the edit if the documentation supports the use of the modifier? a. 22010, 76000
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