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CODING & BILLING
Code: 25115, Radical excision of bursa, synovia of wrist, or forearm tendon
sheaths (e.g., tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid
arthritis); flexors
Medicare ASC Reimbursement:
$891.88
Pain management
• Injection of spinal hardware sites. Report fluoroscopic-guided steroid
and/or anesthetic injection of spinal hardware sites with unlisted code
64999. This code is reported only once if multiple hardware injections
are performed, such as bilateral injections of spinal hardware at the
L4, L5 and S1 spinal levels (AMA, April 2011 and May 2012).
Code: 64999, Unlisted procedure, nervous system
Medicare ASC Reimbursement:
None
• Peripheral neurolytic nerve destruction. Report code 64640 for each
peripheral neurolytic nerve destruction you perform on a peripheral
nerve root. If you perform nerve destruction on the L5, S1, S2 and S3
nerve roots, assign code 64640 x 4 (AMA, June 2012).
Code: 64640, Destruction by neurolytic agent; other peripheral nerve or branch
Medicare ASC Reimbursement:
$116.07
Podiatry surgery
• Open metatarsophalangeal joint capsulotomy and hammertoe repair. These are
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O U T PAT I E N T S U R G E R Y M A G A Z I N E O N L I N E | D E C E M B E R 2012
