The ICD-10 page on the Centers for Medicare & Medicaid Services (CMS) website features a countdown clock that shows the time left until Oct. 1, 2015, the date on which compliance with the new code set becomes mandatory. By the time this issue goes to press, the clock will read 90 or fewer days. Time…
Billing and coding is not as easy as one might think. The rules are constantly changing—and the codes for facet joint injections, which have changed frequently over the years, are a prime example. To make sure your practice is in compliance, billers, coders, and physicians should remain informed of the correct coding guidelines for facet joint injections. No one in a physician’s practice should ever assume that, because they coded a procedure a certain way in years past, it is still the status quo. Every rheumatologist and his or her staff should understand the what, why, and where of facet joint injections.
For the past 30 years, coders have used the International Classification of Diseases, Ninth Revision (ICD-9) to identify and report diseases, signs, and symptoms as well as to measure morbidity and mortality in the United States. In general, coders identify ICD-9 as the heartbeat of reimbursement for medical procedures because this is what drives medical necessity.
It is essential for coders to understand the rules of engagement, especially when it comes to correct coding and using the most up-to-date coding tools. Those who interact with Current Procedural Terminology (CPT), the International Classification of Diseases (ICD), or insurance companies also have the experience of dealing with the countless coding rules and guidelines.