ACE Alert: ACE take on 2021 LCDs Update

by The ACE Team

February 10, 2022

LCD Update from Dec 2021 Changes

The LCDs released in December 2021 related to Epidural Steroid Injections have again been updated. Though all MACs introduced an LCD to address this topic, the messaging is still changing. Throughout January, eight revisions from five different MACs were made to the LCD language. Some of the changes made are backdated to the December effective dates of the LCDs. Noridian is the only carrier we know of that has not yet adopted the new national policy.

The specifics of the updates are geared to three items:

Utilization clarification of only 4 epidural sessions in a rolling 12 month period regardless of anatomical area or levels involved.
Removal of M48.061 as a covered diagnosis as it was included in error. Radiculopathy must be present for coverage.
Steroid dosing should be at the lowest effective amount. It is recommended not to exceed 80 mg triamcinolone, 12 mg betamethasone or 15 mg dexamethasone per session.

Clients should keep on alert watching these LCD policies and the billing articles that apply. Several of the questions that have been asked have been put in a Clarification Document A58899.

We will continue to monitor the LCDs and Billing Articles for Epidural Steroid Injections and keep you posted as things seem to always change.

We are still celebrating Physician Anesthesiologists Week

We founded ACE to help anesthesia providers and their teams understand the rules and find the information. That is the platform from which our education tools are created.

As a thank you for all you do, we are offering you a 10% off code for our Anesthesia Coding & Billing Basics (Anesthesia 101). This code is good until Friday, February 18, 2022, and can be used unlimited on the Anesthesia 101 training for your team.

The code is: PAW2022

ACE Training & Tools

The Wait is Over- Anesthesia Coding & Billing Basics (Anesthesia 101) Training is Here!

We have been offering training and education for our customers for decades. The most popular training we offer is Anesthesia Coding & Billing Basics or commonly known as Anesthesia 101. The great news for you, it’s now available for purchase and on-demand training when you need it. A bonus, it is approved for 2 CEUs through AAPC.

Anesthesia Coding and Billing Basics (Anesthesia 101) is packed with the detail you need to educate your team members whether they are learning how to code and bill anesthesia for the first time or they have been doing it for years! You will learn something new each time you watch this training! A training that provides resources and the information you need so you can have more confidence in the fundamentals of anesthesia coding and billing.

Wait no longer you can purchase now along with our other training and tools available on our website at https://www.aceanesthesiapain.com/shop/.

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We are headed to Vegas, are you? The ACE team will also be attending the AIABPM 2022- March 6-9 in Las Vegas. You can register here: AIABPM

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