Advanced Search

Anesthesia Coding Alert

Reader Question:

Billing for Bilateral Facet Joint Destruction

Published on Sun Sep 01, 2002

Question: Can 64622 (Destruction by neurolytic agent, paravertebral facet joint nerve; lumbar or sacral, single level) be billed using modifier -50 (Bilateral procedure)? Ohio Subscriber Answer: Both 64622 and the add-on code +64623 ( lumbar or sacral, each additional level [list separately in addition to code for primary procedure]) can be billed bilaterally with modifier -50. However, if you add the modifier, it is likely that carriers will reduce their payment. It may be more advantageous to bill additional levels without the modifier. Most contractors' local medical review policies (LMRP) will provide reimbursement for these procedures, but it is always wise to check with the contractor in your state.  
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Anesthesia Coding Alert

View All