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Introduction/Injection of Anesthetic Agent (Nerve Block), Diagnostic or Therapeutic Procedures on the Paravertebral Spinal Nerves and Branches CPT® Code range 64490- 64495

The Current Procedural Terminology (CPT) code range for Introduction/Injection of Anesthetic Agent (Nerve Block), Diagnostic or Therapeutic Procedures on the Extracranial Nerves, Peripheral Nerves, and Autonomic Nervous System 64490-64495 is a medical code set maintained by the American Medical Association.

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CPT® Code Range 64490- 64495
Section 64490-64495
Introduction/Injection of Anesthetic Agent (Nerve Block), Diagnostic or Therapeutic Procedures on the Paravertebral Spinal Nerves and Branches
64490
64491
64492
64493
64494
64495
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KX modifier
Can someone explain the KX modifier for injections? Seems Medicare wants a KX modifier appended for all diagnostic injections (CPT 64633-64636 & 64490-64495) How does a hospital coder know if it is ... [ Read More ]
Anyone ever bill for pain management?
[QUOTE="DGgirll20, post: 501039, member: 693252"] For CPT codes 64492 and 64495, the need for a three-level procedure may be considered under unique circumstances and with sufficient documentation of ... [ Read More ]
Anyone ever bill for pain management?
For CPT codes 64492 and 64495, the need for a three-level procedure may be considered under unique circumstances and with sufficient documentation of medical necessity on appeal. The KX modifier sho... [ Read More ]
2020 Facet Joint Injection charging changes
This is a tricky one and also frustrating. This is what I have been able to find in my search for answers to the same question; (please double check with your specific region and individual office ma... [ Read More ]
2020 Facet Joint Injection charging changes
I wrote NCCI and CMS as neither the MUE or bilateral indicators have been updated in 2020 to reflect the AMA guidelines and this was there response. [My Query far below] Thank you for your inquiry r... [ Read More ]
2020 Facet Joint Injection charging changes
I am hoping for guidance on how to bill out the facet joint injection add on codes when performed bilaterally. Previously the charges were submitted as a single line, 1 unit with modifier 50, but the ... [ Read More ]
50 Modifier reimbursement on + on codes?
[QUOTE="lburns23, post: 461181, member: 584313"] In the new CPT 2020 book, it now says "For bilateral paravertebral facet injection procedures, report 64490, 64493 with modifier 50. Report add-on code... [ Read More ]
Facet Injections, third level bilateral 64492 & 64495
I am the biller & coder for an interventional pain management clinic, and I just received my new CPT 2020 book. For paravertebral facet injections, they have added new text that says: "For bilateral ... [ Read More ]
50 Modifier reimbursement on + on codes?
In the new CPT 2020 book, it now says "For bilateral paravertebral facet injection procedures, report 64490, 64493 with modifier 50. Report add-on codes 64491, 64492, 64494, 64495 twice, when performe... [ Read More ]
Epidural Steroid Injections
[QUOTE="thomas7331, post: 451094, member: 5404"]Medicare has an MUE edit of 1 set for this codes based on clinical data. I actually code a lot of these, and have never seen more than one interlaminar... [ Read More ]
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