784.0 or 723.8? Headache Option Depends on Service provider Notes

Know the very best medical diagnosis and injection codes.

In case your neurologist or discomfort expert administers higher occipital nerve blocks, do not enable coding become a headache. Verify specifics about the client's headache in addition to the service your company offered to determine the precise medical diagnosis and treatment codes each time. Read this neurology billing and coding professional insight and understand exactly what neurology CPT codes use in such a situation.

Place of the Occipital Nerve

The higher occipital nerve (GON) begins with the subsequent median branch of the C2 spine nerve and materials sensory innervations to the posterior location of the scalp going to the top of the head. Physicians typically inject the GON at the point of the exceptional nuchal line which exists simply above the bottom of the skull for occipital headaches or neck discomfort.

Suggestion: Some doctor practices have a little illustration in the chart that the doctor can mark with a variety of injection websites. Counting this kind of tool assists your doctor clearly record the injection place, which even more assists you choose the appropriate nerve injection neurology CPT code in addition to send more precise claims.

Type of Headache

Your doctor's paperwork might have notes covering "occipital headache" to "occipital neuralgia" to "cervicogenic headache." Your task is to make specific that you translate the notes and after that designate the most accurate medical diagnosis.

Occipital headache: ICD-9's alphabetic index does not include a certain listing indicated for occipital headache. Owing to this, you ought to report the basic code 784.0 (Headache), which includes "Discomfort in head NOS." Additional information in your service provider's notes might lead to medical diagnoses like 307.81 (Stress headache), 339.00 (Cluster headaches), 339.1 x (Stress type headache), or 346. xx (Migraine).

Occipital neuralgia: You have definitely a more certain medical diagnosis to code when your service provider files occipital neuralgia. Greater occipital neuralgia result in a hurting, burning, or hammering discomfort or feeling a tingling or tingling the whole time the back of the head. You'll, in such a case, report medical diagnosis 723.8 (Other syndromes impacting cervical area).

Cervicogenic headache: The alphabetic index does not include a listing needing coders to reassess a certain ICD-9 code. A great deal of coders report 784.0 (Headache) since of absence of a much better choice.

Dealing with Bilateral Injections

When your service provider administers bilateral GON injections, verify the client's insurance provider prior to finishing your claim.

Factor: A great deal of Medicare professionals require you to report bilateral treatments as just a single line product together with a single system of service in addition to modifier 50 (Bilateral treatment) added. Personal payers, however, routinely require 2 lines for bilateral claims:

  • Line 1 consisting of the neurology treatment code, modifier RT (Right side), in addition to one system of service
  • Line 2 consisting of the neurology treatment code, modifier LT (Left side), in addition to one system of service.

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Learn more to ideal your neurology billing and coding and ace neurology CPT codes: http://www.supercoder.com/articles/articles-alerts/nca/neurology-keep-4-points-in-mind-for-successful-h-reflex-test-coding-107780/

| In case your neurologist or discomfort expert administers higher occipital nerve blocks, do not enable coding turn into a headache. Occipital headache: ICD-9's alphabetic index does not include a certain listing indicated for occipital headache. Additional information in your service provider's notes might result in medical diagnoses like 307.81 (Stress headache), 339.00 (Cluster headaches), 339.1 x (Stress type headache), or 346.

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