Since there are huge CPT coding updates for 2020, there are no new anesthesia codes. The newly proposed rule only includes new and revised codes for a few certain pain procedures. The rule provided for lowering of relative value units (RVU) for certain nerve injections codes which pay less in 2020.
Some of the New Anesthesia Codes that may be of interest to Anesthesia or Chronic Pain practitioners are provided below.
Code: 205X1 – Needle insertion(s) without injection(s); 1 or 2 muscle (s)
Code: 205X2 – Needle insertion(s) without injection(s); 3 or more (s)
Code: 622X0- Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance
Code: 622X1- Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or cathedral) with fluoroscopic or CT guidance
Code: 64XX0 – Injections, anesthetic agents and/ or steroid; genicular nerve branches, including imaging guidance, when performed
Code: 64XX1 – Destruction by neurolytic agent, genicular nerve branches, including imaging guidance, when performed
Code: 6XX00 – Injections, anesthetic agents and/ or steroid; nerves innervating the sacroiliac joint, with image guidance (i.e. fluoroscopic or computed tomography)
Code: 6XX01 – Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (i.e. fluoroscopic or computed tomography)