For Physicians For Facilities CPT Coding Physicians should bill for their services using CPT codes. These codes are revised annually by the AMA (American Medical Association). Each code is assigned a value. This value is then multiplied by a cost factor and geographical adjustments to determine actual reimbursement. Industrial or work related injury cases are usually paid according to a state established fee schedule or in some instances, reimbursed on the basis of a percentage of billed charges. ambIT® PCA or PreSet™ Pump for Local Pain Management CPT Code Description ASA Units Medicare RVUs Single Shot 64415 Single Shot Brachial Plexus 8 units 2.00 units 64445 Single Shot Sciatic 7 units 2.09 units 64447 Single Shot Femoral 7 units 1.97 units Continuous 64416 Nerve Block, Continuous Infusion, Brachial Plexus 13 units 4.90 units 64446 Nerve Block Injection, Sciatic Continuous Infusion 12 units 4.71 units 64448 Nerve Block Injection, Femoral Continuous Infusion 12 units 4.27 units 64449 Nerve Block, Continuous Infusion, Lumbar Plexus 12 units 4.23 units ambIT® PCA or PreSet™ Pump Epidural Long-Term Catheter Infusion for Chronic Pain CPT Description 62350 Implantation, revision or repositioning of tunneled intrathecal catheter for long term medication administration via an external pump or implantable reservoir/infusion pump; without laminectomy 62318 Bolus-Injection of medication via spinal catheter, epidural or subarachnoid, cervical or thoracic 62319 Bolus-Injection of medication via spinal catheter, lumbar or thoracic 77003 Fluoroscopy for catheter placement 62355 Removal of implanted catheter (intrathecal or epidural) * If catheter management is being done on an inpatient basis, an E&M Code (99231 subsequent hospital care) must be billed with 01996 as a coding requirement. Location ICD-9 Code Description Shoulder 719.41 Pain in Joint; Shoulder Region Knee 719.46 Pain in Joint; Lower Leg Hip 719.45 Pain in Joint; Pelvic Region and Thigh Forearm 719.43 Pain in Joint; Forearm Hand 719.44 Pain in Joint; Hand Arm Upper 719.42 Pain in Joint; Upper Arm Ankle 719.47 Pain in Joint; Ankle and Foot Lumbar/Back 724.2 Lumbago; Low Back Pain/ Low Back Syndrome Cervical/Neck 732.1 Juvenile Osteochondrosis of Hip and Pelvis Elbow 717.42 Derangement of Anterior or Lateral Meniscus If you have any questions, please contact Sorenson Medical at service@sorensonmedical.com. *Medicare National Average, 2007 Medicare physician allowables will vary for each locality. This information is provided as a guide for coding pain management procedures. It is not intended to increase or maximize reimbursement by any payer. This information is intended to assist providers and facilities in accurately obtaining coverage and reimbursement for health care services. It is always the provider's responsibility to determine the appropriate codes and modifiers to be submitted. We strongly advise the provider consult with their payer organizations to obtain current local coverage and reimbursement policies.