Notification of changes to AXA PPP Schedule of Procedures & Fees September 2017
|
|
|
- Quentin Morrison
- 6 years ago
- Views:
Transcription
1 Call our Specialist Fees Team Mon-Fri 9am-1pm We may record and monitor calls for quality assurance, training and as a record of our conversation.. Notification of changes to AXA PPP Schedule of Procedures & Fees September New Codes Code Narrative Notes Effective date 2. Narrative Changes Code Previous Narrative New Narrative Notes Effective date W3719 METAL ON METAL HIP RESURFACING ARTHROPLASTY BILATERAL HIP RESURFACING ARTHROPLASTY - BILATERAL 29/09/ Deleted Codes Code Narrative Notes Effective date 4. Unbundling Code Narrative Unbundled Effective date A5290 TRANSFORAMINAL EPIDURAL W0660, W2912, 11/09/2017 V5230, V5002 & V5003 A5730 FACET OR SACROILIAC JOINT (RF) A /09/2017 RADIOFREQUENCY THERMOCOAGULATION CRYOTHERAPY OR PHENOL (INCLUDING RHIZOLYSIS UNDER IMAGE GUIDANCE) - 4 TO 6 JOINTS V5210 CHEMONUCLEOSIS (MULTIPLE W0660 COCCYGECTOMY (MULTIPLE W2912 APPLICATION OF HALO (AS A SOLE PROCEDURE) V2200 POSTERIOR DECOMPRESSION +/- FORAMINOTOMY - CERVICAL REGION (1 OR 2 AXA PPP healthcare Limited. Registered Office: 5 Old Broad Street, London EC2N 1AD, United Kingdom. Registered in England No Authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority. We may record and/or monitor calls for quality assurance, training and as a record of our conversation. 1 of 6
2 V2282 PROSTHETIC INTERVERTEBRAL DISC REPLACEMENT - CERVICAL REGION (1 OR 2 V2300 REVISIONAL POSTERIOR DECOMPRESSION +/- FORAMINOTOMY (CERVICAL V2990 OPEN DOOR LAMINOPLASTY OF THE CERVICAL REGION (HIROBYASHI) V3720 POSTERIOR FUSION +/- INSTRUMENTATION - CERVICAL REGION (1 OR 2 V2900 ANTERIOR DISCECTOMY - CERVICAL REGION (1 OR 2 V2902 REVISIONAL ANTERIOR DISCECTOMY V2950 V2980 (CERVICAL ANTERIOR DISCECTOMY, DECOMPRESSION AND FUSION (INCLUDING BONE GRAFTING) - CERVICAL REGION (1 OR 2 COMBINED ANTERIOR AND POSTERIOR FUSION OF CERVICAL SPINE V3730 TRANSORAL SURGERY (INCLUDING POSTERIOR FIXATION) V3721 POSTERIOR FUSION +/- INSTRUMENTATION - CERVICAL REGION (3 OR MORE V2901 ANTERIOR DISCECTOMY - CERVICAL REGION (3 OR MORE V2201 POSTERIOR DECOMPRESSION +/- FORAMINOTOMY - CERVICAL REGION (3 OR MORE V2283 V2951 V2402 V2400 V2430 PROSTHETIC INTERVERTEBRAL DISC REPLACEMENT - CERVICAL REGION (3 OR MORE ANTERIOR DISCECTOMY, DECOMPRESSION AND FUSION (INCLUDING BONE GRAFTING) - CERVICAL REGION (3 OR MORE POSTERIOR DECOMPRESSION (THORACIC POSTERIOR DECOMPRESSION WITH FUSION (THORACIC REVISIONAL POSTERIOR DECOMPRESSION WITH FUSION 2 of 6
3 V3120 V3122 V3140 V3100 V3102 V3181 V2540 V2544 V2542 V2543 V2560 V2562 V3345 V3381 (THORACIC TRANSTHORACIC/ ANTERO-LATERAL EXCISION OF INTERVERTEBRAL DISC +/- FUSION REVISIONAL TRANSTHORACIC/ ANTERO-LATERAL EXCISION OF INTERVERTEBRAL DISC +/- FUSION VATS PERCUTANEOUS DISCECTOMY +/- FUSION (THORACIC COMBINED ANTERIOR DISCECTOMY AND POSTERIOR FUSION (THORACIC REVISIONAL COMBINED ANTERIOR DISCECTOMY AND POSTERIOR FUSION (THORACIC PROSTHETIC INTERVERTEBRAL DISC REPLACEMENT IN THE THORACIC SPINE POSTERIOR EXCISION OF DISC PROLAPSE (INCLUDING MICRODISCECTOMY +/- DECOMPRESSION) - LUMBAR REGION (1 OR 2 REVISION OF POSTERIOR EXCISION OF DISC PROLAPSE (LUMBAR POSTERIOR EXCISION OF DISC PROLAPSE WITH UNDERCUTTING FACETECTOMY +/- DECOMPRESSION - LUMBAR REGION (1 OR 2 REVISION OF POSTERIOR EXCISION OF DISC PROLAPSE WITH UNDERCUTTING FACETECTOMY +/- DECOMPRESSION (LUMBAR DECOMPRESSION FOR CENTRAL SPINAL STENOSIS (ONE OR TWO DECOMPRESSION FOR CENTRAL SPINAL STENOSIS (THREE OR MORE MOBILISATION OF THE LUMBAR/THORACIC VESSELS TO PROVIDE SPINAL SURGICAL ACCESS (BY VASCULAR SURGEON) AS SOLE PROCEDURE PROSTHETIC INTERVERTEBRAL DISC REPLACEMENT - LUMBAR DISC (3 OR 3 of 6
4 MORE V3341 PRIMARY ANTERIOR DISCECTOMY, DECOMPRESSION AND ANTERIOR FUSION +/- INSTRUMENTATION - LUMBAR REGION (3 OR MORE V2501 PRIMARY POSTERIOR FUSION +/- DECOMPRESSION +/- DISCECTOMY - LUMBAR REGION (3 OR MORE V2546 POSTERIOR EXCISION OF DISC PROLAPSE WITH UNDERCUTTING FACETECTOMY +/- DECOMPRESSION - LUMBAR REGION (3 OR MORE V2541 POSTERIOR EXCISION OF DISC PROLAPSE (INCLUDING MICRODISCECTOMY +/- DECOMPRESSION) - LUMBAR REGION (3 OR MORE V2570 PERCUTANEOUS VERTEBROPLASTY V2660 REVISION OF DECOMPRESSION FOR CENTRAL SPINAL STENOSIS V2500 PRIMARY POSTERIOR FUSION +/- DECOMPRESSION +/- DISCECTOMY LUMBAR REGION (1 OR 2 V3362 PRIMARY POSTERIOR FUSION WITH INSTRUMENTATION +/- DECOMPRESSION +/- DISCECTOMY (INCLUDING GRAF STABILISATION AND ALL FUSION APPROACHES (LUMBAR V2652 REVISION POSTERIOR FUSION +/- INSTRUMENTATION (LUMBAR V3340 PRIMARY ANTERIOR DISCECTOMY, DECOMPRESSION AND ANTERIOR FUSION +/- INSTRUMENTATION - LUMBAR REGION (1 OR 2 V3350 COMBINED ANTERIOR APPROACH DISCECTOMY, DECOMPRESSION AND FUSION AND POSTERIOR FUSION (LUMBAR V3380 PROSTHETIC INTERVERTEBRAL DISC REPLACEMENT - LUMBAR REGION (1 OR 2 V4140 REMOVAL OF POSTERIOR SPINAL 4 of 6
5 V4740 V4900 V2680 V4100 V4120 V4000 V4280 V4010 V4122 V4160 IMPLANT IMAGE GUIDED PERCUTANEOUS SPINAL BIOPSY OPEN BIOPSY OF LESION OF SPINE WHERE NO OTHER OPERATIVE PROCEDURE ON THE SPINE IS PERFORMED. REVISION ANTERIOR DECOMPRESSION WITH FUSION AND INSTRUMENTATION (LUMBAR POSTERIOR CORRECTION OF IDIOPATHIC JUVENILE SCOLIOSIS ANTERIOR CORRECTION OF IDIOPATHIC JUVENILE SCOLIOSIS FUSION INCLUDING SPINAL CORD MONITORING COMBINED ANTERIOR AND POSTERIOR CORRECTION AND INSTRUMENTATION, +/- FUSION OF IDIOPATHIC JUVENILE SCOLIOSIS (INCLUDING SPINAL CORD CORRECTION OF ADULT DEGENERATIVE OR ADULT IDIOPATHIC SCOLIOSIS INCLUDING DECOMPRESSION +/- FUSION (INCLUDING SPINAL CORD POSTERIOR CORRECTION OF IDIOPATHIC JUVENILE KYPHOSIS ANTERIOR CORRECTION OF IDIOPATHIC JUVENILE KYPHOSIS POSTERIOR CORRECTION OF DEGENERATIVE ADULT KYPHOSIS FUSION (INCLUDING SPINAL 5 of 6
6 V4150 V4300 V4302 V4142 V4451 V4452 V4453 ANTERIOR CORRECTION OF DEGENERATIVE ADULT KYPHOSIS ANTERIOR VERTEBRECTOMY WITH DECOMPRESSION AND IMPLANT COMBINED ANTERIOR VERTEBRECTOMY WITH POSTERIOR FUSION AND INSTRUMENTATION REMOVAL OF POSTERIOR SCOLIOSIS INSTRUMENTATION (AS SOLE PROCEDURE) BALLOON KYPHOPLASTY - SINGLE LEVEL BALLOON KYPHOPLASTY - TWO LEVELS BALLOON KYPHOPLASTY - GREATER THAN TWO LEVELS 5. Fee Changes Code Narrative Notes Effective date W8193 ARTHROSCOPIC SUBACROMIAL DECOMPRESSION Anaesthetist Fee Reduced to /09/ Chapter Amendments Chapter Previous Narrative New Narrative Effective date 15. Skin and subcutaneous tissue 08/09/2017 The codes for removal of malignant lesions should only be used where a malignant lesion is removed with a margin of normal tissue. The codes for removal of malignant lesions should only be used where a malignant lesion is removed with a margin of normal tissue and a histology report confirms a malignancy. This letter is available in other formats If you would like a Braille, large print or audio version, please contact us. 6 of 6
CERVICAL PROCEDURES PHYSICIAN CODING
CERVICAL PROCEDURES PHYSICIAN CODING Anterior Cervical Discectomy with Interbody Fusion (ACDF) Anterior interbody fusion, with discectomy and decompression; cervical below C2 22551 first interspace 22552
CPT CODING EXAMPLES FUSION PROCEDURES. Anterior Lumbar Interbody Fusion (ALIF)
CPT CODING EXAMPLES This list represents coding examples for common spine procedures. The information can also be used in conjunction with the Medicare Fee Calculator on http://www.cms.gov/apps/physician-fee-schedule/
1105 two (2) vertebrae... 1, add on per additional vertebra
SPINE STAGE OPERATIONS Staged operations shall be paid at 100% for the first stage and 85% for the second stage. Where the second stage pays a higher fee 100% shall be paid and the first stage shall be
Notification of changes to AXA PPP Schedule of Procedures & Fees March 2018
Call our Specialist Fees Team 01892 772160 Mon-Fri 9am-1pm specialistfees@axa-ppp.co.uk We may record and monitor calls for quality assurance, training and as a record of our conversation.. Notification
22110 vertebral segment; cervical vertebral segment; thoracic vertebral segment; lumbar
The following codes are authorized by Palladian Health for applicable product lines. Visit palladianhealth.com to request authorization and to access guidelines. Palladian Musculoskeletal Program Codes
PART III IN HOSPITAL ON CALL ANESTHESIA COVERAGE
Anesthesia g) A consultation may not be claimed where the patient is referred to the anesthetist for the sole purpose of providing post-operative Patient Controlled Analgesia. h) Tariff 8406 may not be
Medical Policy Original Effective Date: Revised Date: Page 1 of 11
Page 1 of 11 Content Disclaimer Description Coverage Determination Clinical Indications Lumbar Spine Surgery Lumbar Spine Surgery Description Indication Coding Lumbar Spinal Fusion (single level)surgery
Spinal Interventional Pain Management and Lumbar Spine Surgery
Spinal Interventional Pain Management and Lumbar Spine Surgery Policy Number: Original Effective Date: MM.06.024 01/01/2014 Line(s) of Business: Current Effective Date: HMO; PPO; QUEST Integration 08/22/2014
Orthopedic Coding Changes for 2012
Orthopedic Coding Changes for Lynn M. Anderanin, CPC,CPC-I, COSC Vertebroplasty 22520- Percutaneous vertebroplasty, 1 vertebral body, unilateral or bilateral injection; thoracic 22520- Percutaneous vertebroplasty,
The Business of Spine Coding Handbook For Spine Surgery 2015
The Business of Spine Coding Handbook For Spine Surgery 2015 1 The following Coding Concept Resource is not to be considered a replacement for the Current Procedural Terminology (CPT) book or the International
Shoulder Subacromial Decompression. 15 CPT & Coding Issues for Orthopedic & Spine ASC Facilities. 15 CPT & Coding Issues for Orthopedics and Spine
Orthopedics and Spine 12th Annual Orthopedic, Spine & Pain Management- Driven ASC The Future of Spine Conference by Becker s ASC Review & Becker s Spine Review Speaker Stephanie Ellis, R.N., CPC Ellis
2012 CPT Coding Update AANS/CNS Joint Section on Disorders of the Spine and Peripheral Nerves
2012 CPT Coding Update AANS/CNS Joint Section on Disorders of the Spine and Peripheral Nerves Joseph S. Cheng, M.D., M.S. Associate Professor of Neurological Surgery, Orthopedic Surgery, and Rehabilitation
Special Procedures Beacon Hospital
may be subject to an excess and/or co-payment. Please check your table of cover. 5053 5058 Subcutaneous implantation of a patient-activated cardiac event loop recorder with memory, activator and programmer,
Codes for Back and Spinal Procedures
20930 Allograft for spine surgery only; morselized 20931 Allograft for spine surgery only; structural 20936 Autograft for spine surgery only (includes harvesting the graft); local (eg, ribs, spinous process,
PAIN MANAGEMENT CODES PRIOR AUTHORIZATION REQUIRED THROUGH EVICORE HEALTHCARE
PAIN MANAGEMENT CODES PRIOR AUTHORIZATION REQUIRED THROUGH EVICORE HEALTHCARE The following CPT/HCPCS codes for pain management require prior authorization through evicore healthcare. In order to request
Special Procedures Beacon Hospital
may be subject to an excess and/or co-payment. Please check your table of cover. 1409 Aorto bi-iliac bypass for atherosclerosis or aneurysm; endovascular (using prosthesis) (I.P.) 1419 Transluminal dilation
ConnectiCare Commercial & Exchange Members Utilization Review Matrix 2018 Spine Surgery, Implantable Infusion Pump Insertion & Other Spine Procedures
ConnectiCare Commercial & Exchange Members Utilization Review Matrix 2018 Spine Surgery, Implantable Infusion Pump Insertion & Other Spine Procedures The matrix below contains all of the CPT-4 codes for
GENERAL Why is MVP Health Care (MVP) implementing an MSK Program focused on hip, knee, shoulder and spine surgeries?
Magellan Healthcare 1 Musculoskeletal Care Management (MSK) Program Hip, Knee, Shoulder & Spine Surgeries Frequently Asked Questions (FAQ s) For MVP Health Care Ordering Physicians Question GENERAL Why
Does the ordering surgeon need a separate request for all spine procedures being performed during the same surgery on the same date of service?
Magellan Health Care ConnectiCare Spine Surgery Procedures Frequently Asked Questions and Surgery and CPT Code Table Update 10/26/2016 1. PROCEDURES WITHIN PROCEDURES Does the ordering surgeon need a separate
Index. Note: Page numbers of article titles are in boldface type.
Orthop Clin N Am 38 (2007) 463 468 Index Note: Page numbers of article titles are in boldface type. A Andreas Vesalius, in history of spine pathology, 306 Anesthesia/anesthetics for PECD, 329 in minimally
Comprehension of the common spine disorder.
Objectives Comprehension of the common spine disorder. Disc degeneration/hernia. Spinal stenosis. Common spinal deformity (Spondylolisthesis, Scoliosis). Osteoporotic fracture. Anatomy Anatomy Anatomy
CPT 2015: Save Your Practice By Shaping Up Your Spinal Procedure Reporting
2015 Physician Coding Survival Guide CHAPTER 10: NEUROSURGERY CPT 2015: Save Your Practice By Shaping Up Your Spinal Procedure Reporting Sacroplasty codes will now be inclusive of imaging guidance. You
Musculoskeletal Management (MSK) Program Frequently Asked Questions (FAQ s) For Physicians
Musculoskeletal Management (MSK) Program Frequently Asked Questions (FAQ s) For Physicians Question GENERAL Why does Harvard Pilgrim have an MSK Program? Answer The MSK program is designed to improve quality
The Four Elements. Presented by: Barbara Cataletto, MBA, CPC. The Business of Spine
Introduction to Spine Coding: The Four Elements Presented by: Barbara Cataletto, MBA, CPC Business Dynamics, LLC The Business of Spine The Business of Spine, 16955 Walden Road, Suite 114, Montgomery, TX
Back Pain Policies Summary
Back Pain Policies Summary These policies are part of the wider project, Reviewing local health policies, which is reviewing and updating more than 100 policies, of which back pain are part of. This review
APSS DHAKA OPERATIVE COURSE 13 th 15 th March 2018
13 th 15 th March 2018 Local Organizing Chairman: Kh Abdul Awal Rizvi Local Organizing Secretary: Md Shah Alam APSS President: K S Sivananthan Venue: National Institute of Traumatology & Orthopaedic Rehabilitation
BUPA Schedule of Procedures
BUPA Schedule of Procedures First edition published in 1989 by The British United Provident Association Limited. Second edition published in 1992 by The British United Provident Association Limited. Third
APSS MEDTRONIC SPINE FELLOWSHIP (October 1, 2015-December 31, 2015)
APSS MEDTRONIC SPINE FELLOWSHIP (October 1, 2015-December 31, 2015) Fellow: Dr. Rajesh Bahadur Lakhey Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal. Hosts: Dr. Wong Chung Chek,
2019 ASC FINAL Payment Rates
20526 20550 20551 20552 20553 20600 20605 20610 22510 22511 22513 22514 22869 27279 62263 62264 62268 62269 62270 Injection, therapeutic tendon sheath, ligament injection Tendon origin/insertion injection
2019 ASC Proposed Payment Rates
20526 20550 20551 20552 20553 20600 20605 20610 22510 22511 22513 22514 22869 27279 62263 62264 62268 62269 62270 Injection, therapeutic tendon sheath, ligament injection Tendon origin/insertion injection
Anthem Blue Cross and Blue Shield Central Region Clinical Claim Edit
Subject: Laminotomy (Hemilaminectomy) with Decompression of Nerve Root(s), Including Partial Facetectomy, Foraminotomy and/or Excision of Herniated Intervertebral Disc, Reexploration, Single Interspace-Lumbar
GENERAL Why did Tufts Health Plan implement a Spinal Conditions Management Program and why is it expanding to include joint surgeries?
National Imaging Associates, Inc. (NIA) Spinal Conditions Management Program and Joint Surgery Program Frequently Asked Questions (FAQ s) For Tufts Health Plan Ordering Physicians Question GENERAL Why
2018 ASC FINAL Payment Rates
20526 20550 20551 20552 20553 20600 20605 20610 22510 22511 22513 22514 62263 62264 62268 62269 62270 62272 62273 Injection, therapeutic tendon sheath, ligament injection Tendon origin/insertion injection
Special Procedures Beacon Hospital
135 Cholecystectomy including per operative cholangiogram 271 Laparoscopic repair of hiatus hernia 360 Resection of small intestine; single resection and anastamosis 430 Colectomy, partial 700 Transurethral
Interventional Pain Management
Origination: 5/21/08 Revised: 10/02/17 Annual Review: 11/02/17 Purpose: To provide interventional pain management clinical coordination criteria for the Medical Department staff to reference when making
Spine Surgery: Techniques, Complication Avoidance, and Management. 2 Volume Set
Spine Surgery: Techniques, Complication Avoidance, and Management. 2 Volume Set Benzel, E ISBN-13: 9781437705874 Table of Contents SECTION 1 - HISTORY 1 - History 2 - History of Spine Instrumentation -
Prosthetic intervertebral disc replacement in the cervical spine: Cost-effectiveness compared with cervical discectomy with or without vertebral
Prosthetic intervertebral disc replacement in the cervical spine: Cost-effectiveness compared with cervical discectomy with or without vertebral fusion Author: William Horsley NHS North East Treatment
BlueCare Tennessee and BlueCare Plus (HMO SNP) SM Musculoskeletal Procedure Codes
BlueCare Tennessee and BlueCare Plus (HMO SNP) SM Musculoskeletal Procedure Codes ACL ACL ACL ACL ACL PROCEDURE CODE DESCRIPTION ACL Acromioplasty & Rotator Cuff Acromioplasty & Rotator Cuff Acromioplasty
SECTION K: NEUROSURGERY. Fee Class Anae. Visits
Visits 5K Initial Assessment $176.00 -- of a specific condition includes: pertinent family history, patient history, history of presenting complaint, functional enquiry, examination of affected part(s)
Osteoarthrosis, unspecified whether generalized or localized, lower leg. Osteoarthrosis, localized, not specified whether primary or secondary, pelvic
Page 1 Appendix TABLE E-1 Codes (and Definitions) in Humana Database Used for Study Inclusion and Exclusion of Patients Who Underwent,, or 1 to 2-Level Inclusion ICD-9-P-8154 Total knee replacement ICD-9-D-71596
2012 CPT Changes Affecting Radiology REVISIONS
2012 CPT Changes Affecting Radiology REVISIONS 22520 Percutaneous vertebroplasty (bone biopsy included when performed), 1 vertebral body, unilateral or bilateral injection; thoracic 22521 lumbar 22522
Objectives. Comprehension of the common spine disorder
Objectives Comprehension of the common spine disorder Disc degeneration/hernia Spinal stenosis Common spinal deformity (Spondylolisthesis, Scoliosis) Osteoporotic fracture Destructive spinal lesions Anatomy
GENERAL Why did Harvard Pilgrim implement an MSK program and why is it expanding to include hip, knee, shoulder and spine surgeries?
National Imaging Associates, Inc. (NIA) Musculoskeletal Care Management (MSK) Program Hip, Knee, Shoulder & Spine Surgeries Frequently Asked Questions (FAQ s) Harvard Pilgrim Health Care Ordering Physicians
Table of Contents: Part 1 General principles. Section 1: Introduction. 1. Past, present and future of interventional physiatry 2.
Table of Contents: Part 1 General principles Section 1: Introduction 1. Past, present and future of interventional physiatry 2. Epidemiology Section 2: Spinal pain 3. Inflammatory basis of spinal pain
Notification of changes to Bupa schedule of procedures
22 NOVEMBER 2017 Notification of changes to Bupa schedule of procedures This bulletin aims to keep you up-to-date with any changes to procedure codes published in the Bupa Schedule of Procedures. To ensure
Key Primary CPT Codes: Refer to pages: 7-9 Last Review Date: October 2016 Medical Coverage Guideline Number:
National Imaging Associates, Inc. Clinical guidelines CERVICAL SPINE SURGERY: ANTERI CERVICAL DECOMPRESSION WITH FUSION CERVICAL POSTERI DECOMPRESSION WITH FUSION CERVICAL ARTIFICIAL DISC CERVICAL POSTERI
Post Operative Care Following Spinal Surgery For A Cervical Herniated Disc
Post Operative Care Following Spinal Surgery For A Cervical Herniated Disc The patient services department (PSD) supports LSI patients post surgery. Herniated Disc searching for the most effective solution
Replacement Code for Interbody Cage for Disc
+22851 vs. +20931 October 22, 2015 We ve been told we cannot bill +22851 and +20931 with the ACDF code, 22551. Is this true? It is true if you are thinking about reporting +22851 (intervertebral device)
Degenerative Spinal Disorders. Gábor Nagy MD PhD Zoltán Papp MD
Degenerative Spinal Disorders Gábor Nagy MD PhD Zoltán Papp MD Neurosurgery Surgical treatment of diseases of central and peripheral nervous system Surgery of nerves (brain, spine, peripheral nerves) Surgery
SERVICES. Contact us. Rapid Assessment, Intervention and Treatment
Contact us For more information about Orthopaedic Services, please visit our website at www.londonbridgehospital.com or contact: GP Liaison Department Tel: +44 (0)20 7234 2009 Fax: +44 (0)20 7234 2019
NIA Magellan 1 and Blue Cross and Blue Shield of Nebraska (BCBSNE) Spine Surgery Program Frequently Asked Questions
NIA Magellan 1 and Blue Cross and Blue Shield of Nebraska (BCBSNE) Spine Surgery Program Frequently Asked Questions Question GENERAL Why is BCBSNE implementing a pain management program focused on spine
Cervical Degenerative Disease - Surgical Approaches to CSM 가톨릭의대인천성모병원척추센터 김종태
KNS Main Topic Session Spine Surgery : Case-Based Lecture of Spinal Disease Cervical Degenerative Disease - Surgical Approaches to CSM 가톨릭의대인천성모병원척추센터 김종태 Cervical Spondylotic Myelopathy ( CSM ) (1984,
INDIANA HEALTH COVERAGE PROGRAMS
INDIANA HEALTH COVERAGE PROGRAMS PROVIDER CODE TABLES Note: Due to possible changes in Indiana Health Coverage Programs (IHCP) policy or national coding updates, inclusion of a code on the code tables
U.S. MARKET FOR MINIMALLY INVASIVE SPINAL IMPLANTS
U.S. MARKET FOR MINIMALLY INVASIVE SPINAL IMPLANTS idata_usmis15_rpt Published in December 2014 By idata Research Inc., 2014 idata Research Inc. Suite 308 4211 Kingsway Burnaby, British Columbia, Canada,
POLICY AND PROCEDURE
PAGE: Page 1 of 8 SCOPE: This policy applies to any provider furnishing services represented by Category III CPT codes. PURPOSE & IMPORTANT REMINDER: This policy is current at the time of publication.
Issue Number: 0157 Date: 10/01/219
Bulletin Changes to CCSD Schedule of Procedures Issue Number: 0157 Date: 10/01/219 The CCSD has reviewed requests to the CCSD Procedure Schedule for the months of December/January and has agreed on the
Current Spine Procedures
SPINE BOOT CAMP: WHAT YOU DON T KNOW MAY COST YOU! David Abraham, M.D. The Reading Neck and Spine Center Reading, PA Current Spine Procedures Epidural/Transforaminal Injections Lumbar Procedures Laminectomy
Icd 10 code for left radicular pain
Icd 10 code for left radicular pain cpt new description 64633 destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or ct); cervical or thoracic, single.
GENERAL Why is Magellan Complete Care of Virginia implementing a Musculoskeletal Care Management (MSK) Program focused on MSK Surgery?
Magellan Healthcare 1 Musculoskeletal Care Management (MSK) Program Frequently Asked Questions (FAQ s) For Magellan Complete Care of Virginia Ordering Physicians Question GENERAL Why is Magellan Complete
When is it appropriate to use codes & in the same setting? the code will describe whether to use interspace or vertebral segment.
Question What is the difference in the codes 63075 and 22551 Our physician requested that we ask the following coding/billing question: 1) is 62310-50 77003 x 2 appropriate coding, 2) 64483 64484 72275
Spine Center. at Stamford Hospital s Orthopedic Institute
Spine Center at Stamford Hospital s Orthopedic Institute Back pain related to spinal deformity and injury or congenital conditions is a common health complaint, which can be very debilitating. At Stamford
London Choosing Wisely
London Choosing Wisely Draft Policy Template: Interventional treatments for back pain Version Date Notes Draft for Task & Finish Group 1 Revised version post Task & Finish Group 1 Revised version post
PQIP Procedure List. PQIP Procedures v0.13 ( ) Head and Neck. Burns and Plastics
PQIP Procedure List Head and Neck Craniofacial resection (+/- reconstruction) Glossectomy (total) Laryngectomy (Horizontal supra-glottic / Vertical Hemi / Partial / Subtotal / Total) Laryngotracheal reconstruction
Corporate Medical Policy
Corporate Medical Policy Epidural Steroid Injections for Back Pain File Name: Origination: Last CAP Review: Next CAP Review: Last Review: epidural_steroid_injections_for_back_pain 2/2016 4/2017 4/2018
Report for the APOA- Depuy Spine Clinical Fellowship 2014
Report for the APOA- Depuy Spine Clinical Fellowship 2014 Fellow: Dr Guoquan Zheng, MD Associate professor, Department of orthopedic The General Hospital of Chinese PLA 28 Fuxing Road Beijing 100853, P.
Lumbar, cervical and thoracic spine surgery (open, closed or minimally invasive) Adult deformity surgery Implantable infusion pump insertion
July 30, 2015 Effective Oct. 1, NIA Magellan to Manage Spine Surgery and Interventional Pain Management Program Dear Provider: ConnectiCare is introducing a spine surgery and interventional pain management
EANS Training Course Edinburgh, 28 th - 31 st January 2018 Spine and Peripheral Nerves
EANS Training Course Edinburgh, 28 th - 31 st January 2018 Spine and Peripheral Nerves SUNDAY 28 th January 2018 09:00-09:10 Welcome and introduction 09:10-10:20 Basics Chair: Smrcka 09:10-09:25 Anatomical
DEGENERATIVE SPONDYLOLISTHESIS
AN INTRODUCTION TO DEGENERATIVE SPONDYLOLISTHESIS This booklet is designed to inform you about lumbar degenerative spondylolisthesis. It is not meant to replace any personal conversations that you might
Anterior cervical diskectomy icd 10 procedure code
Home Anterior cervical diskectomy icd 10 procedure code Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to
Chapter 4 Section 20.1
Surgery Chapter 4 Section 20.1 Issue Date: August 29, 1985 Authority: 32 CFR 199.4(c)(2) and (c)(3) Copyright: CPT only 2006 American Medical Association (or such other date of publication of CPT). All
Blue Cross Blue Shield of Nebraska Spine Management Provider Training. Provider Training Presented by Leta Genasci
Blue Cross Blue Shield of Nebraska Spine Management Provider Training Provider Training Presented by Leta Genasci NIA Magellan Training Program 2 NIA Magellan 1 Program Agenda Our Program 1. Authorization
SURGICAL TREATMENT FOR SPINE PAIN
SURGICAL TREATMENT FOR SPINE PAIN UnitedHealthcare Commercial Medical Policy Policy Number: 2018T0547O Effective Date: January 1, 2018 Table of Contents Page INSTRUCTIONS FOR USE... 1 BENEFIT CONSIDERATIONS...
Corporate Medical Policy
Corporate Medical Policy Image-Guided Minimally Invasive Decompression (IG-MLD) for File Name: Origination: Last CAP Review: Next CAP Review: Last Review: image-guided_minimally_invasive_decompression_for_spinal_stenosis
Chapter 4 Section 20.1
Surgery Chapter 4 Section 20.1 Issue Date: August 29, 1985 Authority: 32 CFR 199.4(c)(2) and (c)(3) 1.0 CPT 1 PROCEDURE CODES 61000-61626, 61680-62264, 62268-62284, 62290-63048, 63055-64484, 64505-64595,
You Don t Understand This Stuff???
SPINE SURGERY You Don t Understand This Stuff??? Welcome to the club Most PCP s don t understand what we do Half of other orthopods don t get it Sometimes we can t even explain it to each other Why would
Chapter 4 Section 20.1
Surgery Chapter 4 Section 20.1 Issue Date: August 29, 1985 Authority: 32 CFR 199.4(c)(2) and (c)(3) Copyright: CPT only 2006 American Medical Association (or such other date of publication of CPT). All
Corporate Medical Policy
Corporate Medical Policy Axial Lumbosacral Interbody Fusion File Name: Origination: Last CAP Review: Next CAP Review: Last Review: axial_lumbosacral_interbody_fusion 6/2009 10/2017 10/2018 10/2017 Description
Mitsuhiro Hashimto 1), Masashi Yamazaki 2), Macondo Mochizuki 3), Masatsune Yamagata 1), Yoshikazu Ikeda 1), Fumitake Nakajima 1)
Long-term results of anterior cervical corpectomy and arthrodesis for cervical degenerative diseases with more than ten years of follow-up Mitsuhiro Hashimto 1), Masashi Yamazaki 2), Macondo Mochizuki
Corporate Medical Policy Automated Percutaneous and Endoscopic Discectomy
Corporate Medical Policy File Name: Origination: Last CAP Review: Next CAP Review: Last Review: percutaneous_discectomy 9/1991 5/2017 5/2018 5/2017 Description of Procedure or Service Surgical management
sad EFFECTIVE DATE: POLICY LAST UPDATED:
Medical Coverage Policy Prior Authorization via Web-Based Tool for Procedures sad EFFECTIVE DATE: 09 01 2015 POLICY LAST UPDATED: 12 19 2017 FOR INTERNAL USE ONLY: An RSS was requested to remove prior
Discussion Points 10/17/16. Spine Pain is Ubiquitous. Interventional Pain Management
Interventional Pain Management Blake Christensen, D.O. Fellowship Trained Interventional Pain Management Board Eligible in Anesthesiology and Interventional Pain Management Oklahoma Interventional Pain
SURGICAL TREATMENT FOR SPINE PAIN
UnitedHealthcare of California (HMO) UnitedHealthcare Benefits Plan of California (IEX EPO, IEX PPO) UnitedHealthcare of Oklahoma, Inc. UnitedHealthcare of Oregon, Inc. UnitedHealthcare Benefits of Texas,
Spinal Surgery coding Pain Coding
Spinal Surgery coding Pain Coding CASE STUDIES, DISCUSSION ROBIN INGALLS-FITZGERALD, CCS, CPC, FCS, CEDC, CEMC CEO/PRESIDENT MEDICAL MANAGEMENT AND REIMBURSEMENT SPECIALISTS, LLC Agenda Discuss spinal
APSS-MEDTRONIC FELLOWSHIP REPORT 2016
APSS-EDTRONIC ELLOWSHIP REPORT 2016 Dr Aiyer Siddharth Narasimhan Host spine centre: Department of Orthopaedic surgery, National University Hospital, Singapore. Duration of fellowship: 26th October to
Physicians at-a-glance
Mayfield Office Locations Physicians at-a-glance Middletown Ohio Physicians Hamilton 129 Fairfield West Forest Park Areas of expertise pituitary tumors, brain tumors, aneurysms, arteriovenous malformations,
Physicians at-a-glance
Mayfield Office Locations Physicians at-a-glance Middletown Ohio Physicians Hamilton 129 Fairfield West 2 Forest Park Areas of expertise pituitary tumors, brain tumors, aneurysms, arteriovenous malformations,
Placename CCG. Policies for the Commissioning of Healthcare. Policy for Managing Back Pain- Spinal Injections
Placename CCG Policies for the Commissioning of Healthcare Policy for Managing Back Pain- Spinal Injections 1 Introduction 1.1 This document is part of a suite of policies that the CCG uses to drive its
SURGICAL TREATMENT FOR SPINE PAIN
SURGICAL TREATMENT FOR SPINE PAIN UnitedHealthcare Commercial Medical Policy Policy Number: 2019T0547U Effective Date: April 1, 2019 Instructions for Use Table of Contents Page COVERAGE RATIONALE... 1
Intraoperative case studies. Portable full body 32-slice CT scanner
Intraoperative case studies Portable full body 32-slice CT scanner Point-of-care CT imaging Your multi-departmental imaging solution Orthopedic surgery Arthroplasty Musculoskeletal disorders Hip replacement
Fellow: Keiji Nagata M.D., Ph.D. Orthopedic Department of Wakayama Medical University
APSS MEDTRONIC SPINE FELLOWSHIP 2016 Fellowship Duration: 7 Aug 2017 9 Nov 2017 Fellow: Keiji Nagata M.D., Ph.D. Orthopedic Department of Wakayama Medical University Introduction The APSS Medtronic Spine
The Fusion of. Strength, Design. Performance. and
The Fusion of Strength, Design and Performance Interbody Fusion Platform Interbody Fusion Platform The DePuy Spine Interbody Fusion platform is designed to provide an open architecture implant in a load-sharing
5 Steps to a More Prosperous ASC June 12, Greg Poulter, MD, Vail Summit Orthopaedics
Greg Poulter, MD, Vail Summit Orthopaedics 1 Complex Spine Surgery Complex Spine Surgery Capital intensive Challenging setup Technically difficult Minimally invasive Little pain May be outpatient 2 Concerns
Removal of Total Knee Arthroplasty (TKA) from the Inpatient-Only List (IPO)
November 7, 2017 Subject: (CMS 1678 F-C) Summary of the Centers for Medicare and Medicaid Services Fiscal Year 2018 Outpatient Prospective Systems () and Ambulatory Surgery System (ASC) Final Rule with
ORGANISING COMMITTEE MALAYSIA SPINE SOCIETY OFFICE BEARERS
ORGANISING COMMITTEE Chairman Scientific Chairman Business Manager Hon Secretary Hon Treasurer Opening Ceremony and Gala Dinner Publications and Publicity Audio Visual Committee Members Dr Mohamad Fauzlie
sad EFFECTIVE DATE: POLICY LAST UPDATED:
Medical Coverage Policy Prior Authorization via Web-Based Tool for Procedures sad EFFECTIVE DATE: 09 01 2015 POLICY LAST UPDATED: 12 18 2018 OVERVIEW This policy documents the prior authorization request
Spine surgery experience at the Loveland Surgery Center Loveland, Colorado
Spine surgery experience at the Loveland Surgery Center Loveland, Colorado Kenneth A. Pettine, M.D., M.S. Loveland Surgery Center I.D.E. Site for Twelve F.D.A. Spinal Implant Studies Joint Commission Accredited
Interventional Pain Management. Dr C Hearty 2016
Interventional Pain Management Dr C Hearty 2016 Introduction Multiple Stakeholders GP Physiotherapy Surgery Radiology Oncology First described in 1899 Von Gaza (procain) Grew out of necessity Heretofore
Spinal Terminology Basics
Spinal Terminology Basics Anterior The front portion of the body. It is often used to indicate the position of one structure relative to another. Annulus Fibrosus The outer, fibrous, ring like portion
2018 NuVasive Reimbursement Guide. Assisting physicians and facilities in accurate billing for NuVasive implants and instrumentation systems.
2018 NuVasive Reimbursement Guide Assisting physicians and facilities in accurate billing for NuVasive implants and instrumentation systems. Contents I. Introduction...2 II. Physician Coding and Payment...2