Some individuals may experience minor bruising or soreness at the injection site, but severe side effects are rare
Based on this information, the commenter suggested that CMS re-assign CPT code 64728 to APC 1524 (New TechnologyLevel 24 ($3001-$3500) with status indicator S and a proposed payment rate of $3,250.50 or alternatively re-assign it to APC 5432 (Level 2 Nerve Procedures) with status indicator J1 and a proposed payment rate of $6,667.00 or to APC 5113 (Level 3 Musculoskeletal Procedures) with status indictor J1 with a proposed payment rate of $3,377.20
For the risk-adjustment, we note that the measure is not risk-adjusted because the numerator events are considered access failures regardless of patient acuity or clinical comorbidity
Zhao S, Torres A, Henry RA, Trefely S, Wallace M, Lee JV, et al