SCS trial aborted - billing?

[MD87]

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Post fusion case. Terrible spondylosis. Tried both sides, two levels on each side. Lead kept diving deep in spite of my best attempts even though came in a great angle. No wet tap.
Can I bill anything? 80 minutes of sweat. Feels like I should!

 

[Fox800]

Dry needling/trigger point injection.

I keed.

 

[stsa84]

63650 with a 53 modifier I believe

 

[Orin]

63650 with a 53 modifier I believe

Document that you accessed the space and drove the lead array but couldn't position it properly. Make sure it's clear this was due to patient factors and not equipment malfunction. But you oughta get something for it, although they won't cover equipment/hardware.

 

[MD87]

Document that you accessed the space and drove the lead array but couldn't position it properly. Make sure it's clear this was due to patient factors and not equipment malfunction. But you oughta get something for it, although they won't cover equipment/hardware.

Should I bill two units if I have bilateral images saved?

 

[stsa84]

I think you're only allowed to bill one unit/code with -53. So 63650-53 x1 only

 

[mygalperin]

Yes with a modifier for an incomplete procedure

 

[painfree23]

What does the incomplete procedure reimburse?

 

[Ducttape]

You have to specify the percentage of the procedure completed clearly in your note. That's how much you would get reimbursed.

So like "90% of procedure completed. Leads placed epidural space but could not advance to appropriate dorsal placement"

or something like that.

 

[BobBarker]

yes, agree with stating the percentage completed is important.

 

[MitchLevi]

We’ve all been there.

 

[MD87]

We’ve all been there.

Thanks. Had not done one in a while and so was very deflating… Fortunately, I already had another one booked for today which was very straightforward and went great, so feeling less moody today haha. I teach residents and always tell them “everything is easy, until it isn’t”… yesterday was a good example.

 

[Drd105]

What does the incomplete procedure reimburse?

Almost the same as completed 😳

 

[Drd105]

Almost the same as completed 😳

I did on Medicare once