B02.24: Postherpetic myelitis

Risk adjustment

B02.24 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

• HCC 182 Spinal Cord Disorders/Injuries0.478 RAF

Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.

Medicare coverage

B02.24 is named in 4 Medicare coverage policies: 4 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

• A56034Billing and Coding: Nerve Blockade for Treatment of Chronic Pain and Neuropathy
• A56607Billing and Coding: Continuous Peripheral Nerve Blocks (CPNB)
• A56773Billing and Coding: Neurophysiology Evoked Potentials (NEPs)
• A57204Billing and Coding: MRI and CT Scans of the Head and Neck