Interventional Pain Superbill

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OUTPATIENT / NEW OFFICE VISIT

99202 Level 2 - Straightforward (15-29 min.)99203 Level 3 - Low (30-44 min.)99204 Level 4 - Moderate (45-59 min.)99205 Level 5 - High (60-74 min.)

ESTABLISHED PATIENT OFFICE VISIT

99211 Level 199212 Level 2 (10-19 min.)99213 Level 3 (20-29 min.)99214 Level 4 (30-39 min.)99215 Level 5 (40-54 min.)

OUTPATIENT OFFICE CONSULT

99241 Level 1 (15 min.)99242 Level 2 (30 min.)99243 Level 3 (40 min.)99244 Level 4 (60 min.)99245 Level 5 (80 min.)

E/M ADD-ON CODES

+99417 Prolonged office visit time, ea. 15 min. (commercial)G2212 Prolonged office visit time, ea. 15 min. (Medicare)G2211 Visit complexity add-on (longitudinal care)

PRP Kit / Injections

A9999 BC120 PURE Stem Cell KitA9999 BC60 PURE Stem Cell KitA9999 60 ml PRP kitA9999 30 ml PRP kit0232T INJECTION(S), STEM CELL BIL/UNI0232T NJX PLATELET PLASMA spine0232T PRP INJ BIL/UNI

TRIGGER POINT / JOINT INJECTIONS

11900 Scar Injection20550 Inj, tendon sheath, ligament, aponeurosis20551 Single tendon origin/insertion20552 TPI, 1-2 Muscle(s)20553 TPI, 3+ Muscles20526 Carpal Tunnel Inj20600 Small Joint/Bursa w/o USG20604 Small Joint/Bursa w/USG20605 Intmed. Joint/Bursa w/o USG20606 Intmed. Joint/Bursa w/USG20610 Large Joint/Bursa w/o USG20611 Infrapatellar Bursa Injection27096 SI Joint incl imaging

NERVE BLOCKS

64400 Trigeminal nerve, any div or branch64405 Greater occipital nerve64418 Suprascapular nerve64420 Intercostal nerve, single+64421 Intercostal nerve, each addl64425 Ilioinguinal, Iliohypogastric nerves64430 Pudendal nerve64450 Peripheral nerve or branch x (e.g. genitofemoral, tibial, etc.)64461 Paravertebral, thoracic, single64463 Paravertebral, thoracic, continuous catheter64505 Sphenopalatine Ganglion64415 Brachial plexus64486 TAP block, uni single64487 TAP Block, uni cont64416 Brachial plexus, continuous64417 Axillary nerve64445 Sciatic nerve64446 Sciatic nerve, continuous64447 Femoral nerve64448 Femoral nerve, continuous64449 Lumbar Plexus, continuous64462 Paravertebral, thoracic, any addl64999 Other Blocks (e.g. IPACK, Erector Spinae, Quadratus Lumborum etc.)64488 TAP block, bil single64489 TAP block, bil cont

SYMPATHETIC BLOCKS

64517 Superior hypogastric plexus block64520 Lumbar/Thoracic sympathetic block64510 Stellate ganglion block64530 Celiac plexus block64999 Ganglion impar block (unlisted)

EPIDURAL / SUBARACHNOID / FACETS / SEGMENTAL / SLEEVE

62264 Percutaneous Epidurolysis of Adhesions One Day (+/- Radiologic Contrast)62270 Lumbar Puncture w/o Imaging62328 Lumbar Puncture w/ Flouro or CT62273 Epidural Blood Patch62320 Epid/Spinal, Cervical/Thoracic, single w/o imaging62321 Epid/Spinal, Cervical/Thoracic, single w/ imaging62322 Epid/Spinal, Lumbar/Sacral/Caudal single w/o imaging62323 Epid/Spinal, Lumbar/Sacral/Caudal single w/ imaging62324 Epidural/Continuous, Cervical/Thoracic w/o imaging62325 Epidural/Continuous, Cervical/Thoracic w/ imaging62326 Epidural/Continuous, Lumbar/Sacral/Caudal w/o imaging62327 Epidural/Continuous, Lumbar/Sacral/Caudal w/ imaging64451 Sacroiliac Nerve Injection64454 Genicular Nerve Injection64490 Facet Joint or Nerve, Cervical/Thoracic, Unilateral / Bilateral+64491 Second level, Unilateral / Bilateral+64492 Third and any additional level(s), Unilateral / Bilateral64493 Facet Joint or Nerve, Lumbar/Sacral, Unilateral / Bilateral+64494 Second level, Unilateral / Bilateral+64495 Third and any additional level(s), Unilateral / Bilateral64479 Transforaminal/segmental Cervical/Thoracic, Unilateral / Bilateral+64480 Transforaminal Cervical/Thoracic, Ea. add'l Uni x -OR- Ea. add'l Bil x 64483 Transforaminal/segmental Lumbar/Sacral, Unilateral / Bilateral+64484 Transforaminal Lumbar/Sacral, Ea. add'l Uni x -OR- Ea. add'l Bil x

RADIOLOGY

76942 Ultrasound guidance for needle placement77002 Fluoroscopy for peripheral nerves, joints, & SCS77003 Fluoroscopy for spinal / paraspinal injections (epidural / subarachnoid)

DISKOGRAPHY

62290 Diskography procedure, x each level, lumbar62291 Diskography procedure, x each level, cervical/thoracic72285 Diskography, Cervical/Thoracic, interpretation, x each level72295 Diskography, Lumbar, interpretation, x each level

VERTEBROPLASTY / KYPHOPLASTY / NUCLEOPLASTY

22510 Perc. Vertebroplasty; 1 vertebral body; cervicothoracic22511 Perc. Vertebroplasty; 1 vertebral body; lumbosacral22512 Perc. Vertebroplasty; 1 vertebral body; CervThor/LumbSac - Ea add'l x 22513 Kyphoplasty; 1 vertebral body; thoracic22514 Kyphoplasty; 1 vertebral body; lumbar22515 Kyphoplasty; 1 vertebral body; Thor/Lumb - Ea add'l x

NEUROLYTIC / CRYO / THERMAL RADIOFREQUENCY

62280 Subarachnoid62281 Epidural, Cervical/Thoracic62282 Epidural, Lumbar/Sacral64600 Trigeminal nerve64610 Trigeminal nerve, 2nd/3rd divisions64620 Intercostal nerve(s), x 64624 Genicular Nerve Branch Radiofrequency Ablation64625 Sacroiliac Joint Radiofrequency Ablation64635 Facet Joint Lumbar/Sacral, incl image guide - Unilateral / Bilateral64636 Facet Joint Lumbar/Sacral, Ea. add'l Uni x -OR- Ea. add'l Bil x 64633 Facet Joint Cervical/Thoracic, incl image guide - Unilateral / Bilateral64634 Facet Joint Cervical/Thoracic, Ea. add'l Uni x -OR- Ea. add'l Bil x 64640 Peripheral/Sympathetic x 64630 Pudendal nerve64680 Celiac plexus, with/without x-ray64681 Superior hypogastric plexus, (+/- x-ray)64999 RF Dorsal Root Ganglion x 64999 Pulsed RFA

MISCELLANEOUS

64999 Endoscopic discectomy22899 Hardware Injection96365 Intravenous Infusion-up to 1 hr99070 Supplies, epidural kitQ9965 Low osmolar contrast materialJ3490 Marcaine, per 30ml x J3301 Kenalog, per 10mg, x J0585 Botox type A, per unit, x unitsJ1020 Depo-medrol, per 20 mg, x 0275T MILD99152 Moderate Sedation; 5+ yrs old, 1st 15 min.+99153 Moderate Sedation; ea. add'l 15 min. x 36410 Venipuncture64999 Unlisted Procedure(s) - Specify: A4220 Infusion Pump refill kitJ1030 Depo-medrol, per 40 mg, x J1040 Depo-medrol, per 80 mg, x 0232T Platelet Rich Plasma InjectionM0076 ProlotherapyJ7323 Hyaluronic acid, per dose x (product-specific code J7323-J7328)

PUMPS

10160 Aspiration of Seroma62350 Implant/Revision/Repositioning of Tunneled Intrathecal or Epid cath62362 Implantation/Replacement of Programmable Pump62355 Removal of Implanted Intrathecal or Epid catheter62365 Removal of Intrathecal/Epid Reservoir/Pump62367 Electronic Analysis of programmable pump; without reprog or refill62368 Electronic Analysis of programmable pump; with reprogramming, no refill62369 Electronic Analysis & Reprogramming of pump; with refill by non-physician62370 Electronic Analysis & Reprogramming of pump; with refill by qualified health care prof.75809 Dye Study (pumps, epidural catheters, etc)13160 Secondary Wound Closure95991 Pump Refill, qualified health care prof., incl analysis95990 Pump Refill, incl analysis

STIMULATORS

63650 Spinal Cord Stimulator, Percutaneous Trial or Permanent Leads x 63661 Removal percutaneous electrode array x 63663 Revise/Replace percutaneous electrode array x 63685 Implantation/Replacement Spinal Cord Stimulator Generator63688 Revision/Removal Implanted Spinal Cord Stimulator Generator95970 Electronic Analysis of generator without reprogramming95971 Electronic Analysis of generator w/ simple reprogramming95972 Complex Programming by Physician63655 Spinal Cord Stimulator, Paddle Lead (laminectomy)64555 PNS Percutaneous Electrode Array (incl. 60-day PNS) x 64575 PNS Incision for Implantation of Electrode Array64585 PNS Lead Revision or Removal64590 PNS Generator/Receiver Insertion64595 PNS Generator/Receiver Revision or Removal64596 PNS Integrated Neurostimulator, Insertion64598 PNS Integrated Neurostimulator, Revision/Removal

ADVANCED SPINE & JOINT PROCEDURES

62330 MILD - Minimally Invasive Lumbar Decompression22869 Interspinous Spacer, stand-alone, 1 level22870 Interspinous Spacer, stand-alone, add'l level22867 Interspinous Device w/ Open Decompression, 1 level22868 Interspinous Device w/ Open Decompression, add'l level64628 Basivertebral Nerve Ablation, 1st vertebral body+64629 Basivertebral Nerve Ablation, ea. add'l vertebral body27279 Minimally Invasive SI Joint Fusion

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