The Pain Management series will help take the sting out of coding these types of procedures! Part 1 of this series covers various types of injections commonly seen in pain management coding. This includes nerve blocks, facet joint injections, epidural, paravertebral blocks, nerve destruction, and chemodenervation. Part 2 covers musculoskeletal aspirations and injections, neurostimulators, and other spine and spinal cord procedures. This series builds on the information covered in the Nervous System and Spinal Anatomy for Pain Management course and is recommended if you need an anatomy refresher.
Part 1: Nerve Injections
- Assign Trigeminal nerve block code(s)
- Distinguish between injection vs continuous infusion.
- Determine when modifier 50 is applicable and when imaging guidance separately reportable.
- Differentiate between epidural steroid injection and transforaminal epidural steroid injection.
- Determine what code(s) to report for multiple levels of facet joint injections.
- Recognize which codes cannot be reported with paravertebral blocks.
- Define the difference between nerve destruction and chemodenervation.
- Select codes for destruction by radiofrequency ablation of facet joints.
- Select the correct code(s) for chemodenervation in multiple extremities”
Part 2: Joint Injections, Neurostimulators, and Other Procedures
- Differentiate between tendon sheath and tendon origin or insertion injections.
- Recognize the difference between trigger point injections and dry needling.
- Determine joint injection codes based on joint size and imaging guidance used.
- Differentiate between cortical and subcortical electrode placement.
- Assign the correct code for spinal electrode insertion based on approach.
- Identify which peripheral nerves have their own specific code.
- Use the number of days required for percutaneous adhesion lysis treatment to determine procedure code.
- Select the code for lumbar puncture for given scenarios.
- Identify and code each component of an intrathecal drug delivery system.”
** The price of this product includes an AMA Royalty Fee