Coding references
Pain management: the codes and the rules.
Three tables for a pain management practice, each one a coder can check against the 2025 CMS and ICD-10-CM files, and the notes that come up every week.
The tables.
The notes a coder repeats.
- Epidural and facet codes include imaging guidance; fluoroscopy (77003) is not billed separately with them.
- Facet injections and radiofrequency ablation are reported per level per side; bilateral levels take modifier 50 where the payer allows it.
- Radiofrequency ablation carries a 10-day global; the follow-up call ten days later is included, the visit at six weeks is not.
- A visit on the day of an injection is only separately payable when it is significant and separately identifiable (modifier 25) and the documentation shows it.
Other specialties.
A receptionist that knows pain management calls.
Screening forms your clinicians approve, the on-call paged with answers, and every call booked or handed back as a task.