Get The Updates On Category Iii Codes By Attending Pain Management Conference

By Author: Julia Rose
Total Articles: 89
Comment this article

Last July, you saw two new Category III codes for sacroplasty going into effect. And come January 1, 2010, you will have to watch out for other category III codes.


In 2010, several injection codes will go live. But you'll do well to add them to your cheat sheets now because you won't find them in your CPT book until 2011. So if you are a pain management coder, you need to pay attention to ten category III codes going into effect on January 1 next year despite the fact that they didn't make the printer cut-off date for inclusion in CPT 2010.


You should pay attention to interpretation options: Some of the new Category III codes include radiologic interpretation. So keep these tips in mind when completing your claims:


You can report radiological supervision and interpretation for 00200T and 00201T. Choose between 72291 or 72292.


Stay away from reporting radiological supervision and interpretation together with 0219T-0221T because the guidelines specifically direct, Do not report 0219T-0221T with any radiological service.


What's more, ...
... some of the new Category III codes also include details regarding bilateral coding. You can append modifier 50 (bilateral procedure) when your physician's documentation supports it. You can include modifier 50 with 0213T0213T-+0218T, but not 0219T-+0222T.


Report Category III code instead of an unlisted procedure Category I code whenever available. As because coverage and reimbursement remains a payer decision, you should follow the same process with reporting Category III codes as you do with unlisted procedure Category I codes.


For more on these category III codes, head to a pain management conference and gain more insight.