Ask the Expert
This month’s selection:
The code for Injection, spinal nerve root, single, cervical, analgesia only (therapeutic marcaine) is 62310 and the ambulatory payment classification (APC) for Medicare is 207. The code for Injection, spinal nerve root, single, cervical, analgesia mixed with steroid, is still 62310 and the APC is still 207, so the payment will not change from injection of marcaine alone.
If you look at the ICD-9 procedure codes, they differentiate what’s getting injected separately, but CPT doesn’t care. Since these are generally outpatient procedures, they will get reported with CPT codes as follows:
— Judy Sturgeon, CCS, is the clinical coding/reimbursement compliance manager at Harris County Hospital District in Houston and a contributing editor at For The Record. While her initial education was in medical technology, she has been in hospital coding and compliance for 21 years.