ICD-9 code: 722.52 “Lumbar/lumbosacral disc degeneration” ICD-10 code: M51.36 and M51.37 “Other intervertebral disc degeneration” (lumbar and lumbosacral, respectively) CPT codes. CPT code 62287 (decompression procedure, percutaneous, of nucleus pulposus of intervertebral disc) is not reimbursable with CPT code 62267, 62290, 77003, … 62290. References to CPT or other sources are for definitional purposes only and do not imply any right to reimbursement. What reasons for the codes u1900 62290 61318 These codes do not produce a trouble code they were inthe system when - Ford 2008 Fusion 2.3 question The fee guidelines for … These files contain the procedure codes which may be performed in an ASC under the Medicare program as well as the ASC payment group assigned to each of the procedure codes. Inclusion or exclusion of a procedure, diagnosis or device code(s) does not constitute or imply member coverage or provider reimbursement policy. Findings 1. either CPT Code 62290 (Injection procedure for discography, in lumbar spine) or CPT Cod 62291 (Injection procedure for discography in cervical or thoracic spine), and a radiology portion that is reported by either CPT Code 72285 (discography interpretation and CPT® 62287 code for a lumbar percutaneous discectomy procedure has also been revised by the AMA for 2012. Report CPT code 62290 ("Injection procedure for discography, each level ; lumbar") for each level. Look up each CPT code to be billed to Medicare on the Medicare ASC List for the associated fee. Code this procedure based on the number of levels on which the physician performs discography. NOTE: These codes may overlap with the codes in the Vagus Nerve Stimulation Medical Policy so to ensure proper adjudication of your claim, please call for pre-authorization on all of the above codes. Ambulatory Surgical Center (ASC) Approved HCPCS Codes and Payment Rates. This reimbursement policy applies to all professionals who deliver health care services. Sequence the CPT codes for billing from Highest to Lowest Fee listed on the Medicare ASC List. re: 62287/62290. 62290 “Injection procedure for discography, EACH level; lumbar “ 62291 “Injection procedure for discography, EACH level; cervical or thoracic “ Effective March 1, 2021: 64569, 64585. 7. For example, if a physician performs a discogram at levels L1-2, L2-3, and L3-4, bill code 62290 on the claim form three times. 6. This and other UnitedHealthcare reimbursement policies may use CPT, CMS or other coding methodologies from time to time. The requestor is seeking medical fee dispute resolution in the amount of $2,232.00 for CPT codes 62290 and 72295 rendered on December 10, 2018. The following codes for treatments and procedures applicable to this document are included below for informational purposes. Is the requestor entitled to reimbursement for CPT codes 62290-59 and 72295-26-59? 5. 2. Orthognathic surgery (PDF) ... CPT . G0260 and/or anesthetic/steroid (CPT code 27096) N/A N/A $ 585.17 $ 327.22 DISCOGRAPHY 62290 Injection procedure for discography, each level, lumbar $ 343.23 $ 179.14 N/A N/A 62291 Injection procedure for discography, each level, cervical or thoracic $ 339.65 $ 176.99 N/A N/A Code: Global Period: 0163T 000 0164T 000 0165T 000 0234T 000 0235T 000 0236T 000 0237T 000 0238T 000 0249T 000 0253T 000 0254T 000 0255T 000 0266T 000 0267T 000 0268T 000 ... 62290 000 62291 000 62292 090 62294 090 62302 000 62303 000 62304 000 62305 000 62310 000 62311 000 62318 000 62319 000 62320 000 62321 000 62322 000 62323 000 62324 For treatments and procedures applicable to this document are included below for informational.. To CPT or other coding methodologies from time to time code to be billed to Medicare on the ASC. Asc ) Approved HCPCS codes and Payment Rates 62290 cpt code care services also been revised by AMA. 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