Payment & Practice Management  |   December 2019
Coding Update for 2020
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Airway Management / Practice Management / Radiological and Other Imaging / Advocacy and Legislative Issues / Payment & Practice Management
Payment & Practice Management   |   December 2019
Coding Update for 2020
ASA Monitor 12 2019, Vol.83, 50-52.
ASA Monitor 12 2019, Vol.83, 50-52.
December is always a busy time of year as we are not only preparing to “close the books” for the current year, but also getting ready for the upcoming year. Preparing for coding updates is an important task as the new codes and instructions become effective on January 1 of each year. 2020 CPT® includes new, revised and deleted codes that are important to ASA members – and it also includes a few other changes that you will need to know.
There are no changes to the CPT codes that describe anesthesia services but there are other changes of which you need to be aware; most are within the 644xx code series that covers somatic nerve injections. Codes in this series have been revised to clarify that they are to be reported once per nerve plexus, nerve or branch specific to each code – regardless of the number of times that specific nerve, nerve plexus or branch is injected. Three codes from this series have been deleted and two new ones for injections of genicular nerves and for injections to nerves innervating the sacroiliac joint have been added. We also have two new codes specific to the destruction of genicular nerves and to radiofrequency ablation of nerves that innervate the sacroiliac joint. A table has been added to CPT (see page 437 of the 2020 CPT Professional Edition) to provide information on how to determine units of service and whether the code includes imaging guidance or if imaging guidance may be separately reported. It’s important to pay close attention as imaging may be separately reported for some of the codes listed and it is bundled in others. CPT includes specific instructions on what is required to report the new codes for genicular nerve injection/destruction. Proper reporting requires injection or destruction of the superolateral, superomedial and inferomedial genicular nerve branches. If the injection or destruction procedure does not include all three of these, CPT then instructs that Modifier 52 – Reduced Services – be appended to the procedure code. The codes for spinal puncture have also been updated to differentiate between these procedures done with and without imaging guidance.
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