Some payers will only accept the Surgical Code Crosswalk (ICD9 Volume 3). This code is used instead of the CPT code on the UB92 claim form. The crosswalk is published by Medicode. This crosswalk is based on the surgery section of the CPT and link to a data driven code. To use this book, you would look up the CPT code numerically and the code will list the ICD-9 procedural code. Many pain procedures fall into the same crosswalk code. For instance: Crosswalk code 03.91 crosswalks to single and continuous epidurals. Many of the crosswalk codes are driven by the type of medication that is injected. Once your billing system has been loaded with crosswalk codes, you should be able to simply link the payer to the claim form and choose crosswalk or CPT.
| CPT | DESCRIPTION | SURGICAL CODING CROSSWALK |
| 11900 | Scar Infiltration (up to 7) | 99.29 |
| 11901 | Scar Infiltration (over 7) | 99.29 |
| 20550 | Injection Tendon | 81.92 Joint |
| 83.97 Tendon | ||
| 20552 | Trigger Point 1 or 2 | 83.98 |
| 20553 | Trigger Points 3 or more | 83.98 |
| 20600 | Small Joint Injection | 81.91 Arthrocentesis |
| 81.92 Injection of therapeutic substance into joint or ligament | ||
| 82.92 Aspiration of bursa of hand | ||
| 82.94 Injection of therapeutic substance into bursa of hand | ||
| 82.95 Injection of therapeutic substance into tendon of hand | ||
| 83.94 Aspiration of bursa | ||
| 83.96 Injection of therapeutic substance into bursa | ||
| 20605 | Medium Joint Injection | 76.96 Injection of therapeutic substance into temporomandibular joint |
| 81.91 Arthrocentesis | ||
| 81.92 Injection of therapeutic substance into joint or ligament | ||
| 83.94 Aspiration of bursa | ||
| 83.96 Injection of therapeutic substance into bursa | ||
| 20610 | Large Joint Injection | 81.91 Arthrocentesis |
| 81.92 Injection of therapeutic substance into joint or ligament | ||
| 83.94 Aspiration of bursa | ||
| 83.96 Injection of therapeutic substance into bursa | ||
| 27096 | SI Joint Injection | 81.92 |
| 99.23 Steroid | ||
| 99.29 Other agent | ||
| 62263 | Percutaneous lysis of adhesions | 86.09 |
| 62270 | Spinal puncture lumbar | 03.31 |
| 62273 | Blood Patch | 03.95 |
| 62280 | Subarachnoid | 03.8 Dest agent |
| 03.92 Other | ||
| 62281 | Epidural, cervical/Thoracic | 03.8 Dest agent |
| 03.92 Other | ||
| 62282 | Epidural, lumbar/caudal | 03.8 Dest agent |
| 03.92 Other | ||
| 62287 | Percutaneous Laser Discectomy | 80.59 |
| 62290 | Discography, lumbar | 03.92 + 87.22 |
| 62291 | Discography, cervical | 03.92 + 87.24 |
| 62310 | Epidural cervical/thoracic. | 03.91 Anesthestic |
| 03.92 Other | ||
| 62311 | Epidural lumbar/sacral/caudal | 03.91 Anesthestic |
| 03.92 Other | ||
| 62318 | Inject. Incl.cath placement, continuous cervical/thoracic | 03.9 Cath Insert |
| 03.91 Anesthestic | ||
| 03.92 Other | ||
| 62319 | Inject. Incl.cath placement, continuous Lumbar/sacral | 03.9 Cath Insert |
| 03.91 Anesthestic | ||
| 03.92 Other | ||
| 62350 | Implant Catheter | |
| 62355 | Remove implanted catheter | |
| 62361 | Implant non-programmable pump | |
| 62362 | Implant programmable pump | 86.06 Insertion totally implanted pump |
| 62365 | Remove implanted pump | |
| 62367 | Analysis pump w/o reprogram | |
| 62367-26 | Analysis pump w/o reprogram | |
| 62368 | Analysis pump with reprogram | |
| 62368-26 | Analysis pump with reprogram | |
| 63650 | Percutaneous implant neurolectrode | 3.93 |
| 63660 | Revision/remove electrode | 03.21 Percutaneous chordotomy |
| 03.32 Biopsy of spinal cord or spinal meninges | ||
| 03.39 Other diagnostic procedures on spinal cord and spinal canal structures | ||
| 03.4 Excision or destruction of lesion of spinal cord or spinal meninges | ||
| 03.92 Injection of other agent into spinal canal | ||
| 63685 | Implant spinal transmitter | 03.93 |
| 63688 | Revision/remove spinal transmitter | 03.93 |
| 64400 | Trigeminal Nerve, any | 04.81 |
| 64402 | Facial Nerve | 04.81 |
| 64405 | Greater/lesser Occipital nerve | 04.81 |
| 64408 | Vagus Nerve | 04.81 |
| 64410 | Phrenic Nerve | 04.81 |
| 64412 | Spinal Accessory Nerve | 03.91 Anesth into spinal canal |
| 04.81 Anesth into peripheral nerve | ||
| 64413 | Cervical Plexus | 04.81 |
| 64415 | Brachial Plexus | 04.81 |
| 64417 | Axillary Nerve Block | 04.81 |
| 64418 | Suprascapular Nerve | 04.81 |
| 64420 | Intercostal, single | 04.81 |
| 64421 | Intercostal, multiple | 04.81 |
| 64425 | Ilionguinal, Iliohypogastric Nerve | 04.81 |
| 64430 | Pudental Nerve | 04.81 |
| 64445 | Sciatic Nerve | 04.81 |
| 64450 | Other peripheral | 04.81 |
| 64470 | Facet, cerv./thoracic single | 04.81 |
| 64472 | Facet, cervical/thoracic additional | 04.81 |
| 64475 | Facet, lumbar/sacral single | 04.81 |
| 64476 | Facet, lumbar/sacral additional | 04.81 |
| 64479 | Transforaminal, epidural cerv/thor. 1st level | 03.91 Aesthetic into spinal canal |
| 03.92 Other | ||
| 64480 | Transforaminal, epidural cerv/thor. Ea. Addt'l | 03.91 Aesthetic into spinal canal |
| 03.92 Other | ||
| 64483 | Transforaminal epidural lumbar/sacral, 1st level | 03.91 Aesthetic into spinal canal |
| 03.92 Other | ||
| 64484 | Transforaminal epidural lumbar/sacral ea. addt’l | 03.91 Aesthetic into spinal canal |
| 03.92 Other | ||
| 64505 | Sphenopalatine | 05.31 |
| 64510 | Stellate Ganglion | 05.31 |
| 64520 | Lumbar sympathetic | 05.31 |
| 64530 | Celiac Plexus | 05.31 |
| 64550 | Tens application | 04.19 |
| 64600 | Trigeminal Nerve, any | 04.2 |
| 64612 | Sphenopalatine | 04.2 |
| 64613 | Botox injection | 04.2 |
| 64620 | Intercostal: destruct | 04.2 |
| 64622 | Destruct Paravetebral Facet, lumbar single | 04.2 |
| 64623 | Destruct Paravetebral Facet, lumbar ea. addt’l | 04.2 |
| 64626 | Facet joint or facet joint nerve cerv/thor. 1st level | 04.2 |
| 64627 | Facet joint or facet joint nerve cerv/thor, ea. add’l | 04.2 |
| 64640 | Other peripheral | 04.2 |
| 64680 | Celiac Plexus: destruct | 05.32 Neurolync agent |
| 05.39 Other |
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