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2018 CPC Practice Exam Answer Key 150 Questions With Full Rationale (HCPCS, ICD-9-CM, ICD-10, CPT Codes) Click here for more sample CPC practice exam questions with Full Rationale Answers

Practice Exam

Click here for more sample CPC practice exam questions and answers with full rationale

Pain Pump Refill Coding

Ok, so one of my docs does a lot of pain pumps and refills. The pharmacy send me a copy of the invoice with a flat fee on with code J3490 as the billing code. Sometimes it’s multiple drugs such as Hydromorphone, Bupivicaine & Clondine mixed together. We also have a couple that are straight Hyromorphone or Morphine Sulfate mixed with Sodium Chloride & Sterile Water or a Baclofen mixture of the same.

Can anyone help with if all these are fine being billed under J7799 or J3490? I have been told that once they are mixed with something else even the Saline, they become a compound drug and for the pump they should be billed under one of these codes.

Thank you

Medical Billing and Coding Forum

Pain Management and Behavioral Health together?

Our clinic has started a new pain management program. Present during these visits is a MD, Pharmacist, and a LCSW or ASW from Behavioral Health. There are two separate progress notes that are documented for this one encounter. One from the MD and one from Behavioral Health. The MD addresses the medication and any other concerns while the Behavioral Health documents other behavioral diagnosis. My question is, can we bill for both?

My initial thought is to only bill for the MD since this is only one visit. Do any other Behavioral Health clinics work with a pain management program?

Medical Billing and Coding Forum

Billing Pain Management with Behavioral Health

Our clinic has started a new pain management program. Present during these visits is a MD, Pharmacist, and a LCSW or ASW from Behavioral Health. There are two separate progress notes that are documented for this one encounter. One from the MD and one from Behavioral Health. The MD addresses the medication and any other concerns while the Behavioral Health documents other behavioral diagnosis. My question is, can we bill for both?

My initial thought is to only bill for the MD since this is only one visit.

Medical Billing and Coding Forum

Arthrocentesis (hip injection for pain) with 73501

I have audited a hip injection (20610) performed in the hospital outpatient radiology department by an orthopedist with fluoroscopic guidance. The radiology department has added a charge for the permanent one view on file with CPT 73501. I am under the impression that this permanent image is for confirmation of needle position and, therefore, inclusive to the procedure. A 77002 was charged for the fluoroscopic guidance (correctly). Do any of you have a resource that explains this? I am writing my audit report and would like to present the findings with citations.

Medical Billing and Coding Forum

Busted! Florida “Pain Management” Clinic Runs an Opioid Pill Mill

Another opioid pill mill gets busted by the Medicare Fraud Strike Force. A “pain management clinic” in Hialeah, Florida, owned by David Bosch and Tania Sanchez, which operated under the name East Medical Office Inc., unlawfully distributed thousands of pills of oxycodone, during the period of April 2017-May 2018. It was a cash-only clinic, which remained […]

The post Busted! Florida “Pain Management” Clinic Runs an Opioid Pill Mill appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

Pain Pump Replacement???

My doctor did an intrathecal pump replacement and re-position with intra-operative programming of the pump.

I infiltrated the area of the abdomen with 10mL of local anesthetic, bupivicaine 0.5%, then we used an 11 blade and made a transverse incision over the old incision and then I used a sharp and blunt dissection. I was able to expose the pump, then I aspirated from the catheter access port to the pump and that produced free flow of clear CSF. Then I made a sharp and blunt dissection to re-position the pump more anterior so it does not rub over the left ASIS which is one of the patient’s main complaints. Then I connected the catheter to the new pump. I secured the pump to the abdominal fascia using 2-1 Tycron, 3 stitches were taken into the abdominal fascia. Then I irrigated all the incisions. I closed the subcutaneous tissue with 2-0 Vicryl followed by 3-0 Vicryl followed by 3-0 Novafil.

He wants to code 62360, but I’m going more towards 62362 with the re-position being inclusive as he didn’t make a different incision to re-position the pump, just deeper in the same pocket. Am I correct in this rational???

Thank you

Medical Billing and Coding Forum

Local Anesthesia code for pain management procedures

For RFA – Radiofrequency Ablation ( 64633 – 64636 ), do I need to code Local anesthesia seperately?

and for joint and bursa injection – 20610 , 20605 do I code local anesthesia seperately , 3 ml of 1% Lidocaine. ?? And Provider uses fluroscopy so do I code
for ex : left shoulder joint injection – 12 mg betamethasone
20610 – LT
77002 – 59
J0702 x 4
(What about Anesthesia)

Medical Billing and Coding Forum