Coding and Reimbursement

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Coding and Reimbursement

The Health Policy Council oversees NASS’ coding, reimbursement and practice management activities. It works closely with The Centers for Medicare/Medicaid Services (CMS) and private insurance companies to help develop coding, coverage and reimbursement policy for spine care. It is also the primary liaison to the American Medical Association (AMA)’s Current Procedural Technology (CPT) Editorial Panel, Relative Value Update Committee (RUC), and other related bodies. The NASS Coding Committee publishes an annually updated Common Coding Scenarios book as a resource to members.

Committees and groups that fall under the Health Policy Council include:

NASS Coding

...as well as representatives to:

AMA House of Delegates

AMA CPT Advisory Panel

AMA RUC Advisory Panel

AAOS Coding & Reimbursement Committee

Coding and Reimbursement Resources:

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New features include:

Coding scenarios with new/revised codes for lumbar arthrodesis with combined posterior and posterolateral technique
Electronic analysis of implanted pumps
Paravertebral facet joint nerve injections with imaging guidance
Category III codes for percutaneous laminectomy/laminotomy interlaminar approach
Implantation of neurostimulator electrode arrays

Standard features include:

CPT® codes for Evaluation and Management
CPT® codes 22000 series, 63000 series and Modifiers
CPT® codes for Injection, Pain Management, Radiology and Electrodiagnostic Procedures
2012 Medicare Physician Fee Schedule
Ambulatory Surgical Centers (ASC) list of covered procedures

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