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facet injection

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    Wiki Procedure code 64490 has not met the associated Code-to-Code relationship criteria for CMS ID(s) L34892

    "Per LCD or NCD guidelines, procedure code 64490 has not met the associated Code-to-Code relationship criteria for CMS ID(s) L34892" This is the denial received for an AARP Medicare Complete plan where we billed out: 99214-25 64490-50 DX code M47.812 Can someone explain this denial please? Is...
  2. kimmcelderry@gmail.com

    Wiki Medicare and 3rd level facet blocks

    Hi there, recently Medicare made it policy to deny 3rd level blocks. The LCD states they can be appealed upon denial, but I'm not sure when/why a 3rd level block would be medically necessary? What are grounds for appeal? Thanks for any help.
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    Wiki Facet injections with 77077

    One of my physicians performed a facet injection utilizing joint survey imaging (77077). I can't find anything on when it is applicable to use 77077 and/or what kind of report is necessary to support the 77077 charge. Does anyone else have experience with this?
  4. K

    Wiki HELP reading anatomy of spine for pain code op note - facet joints & levels for MBB

    HELP reading anatomy of spine for pain code op note - facet joints & levels for MBB I code for ASC and usually my centers are very specific identifying the facet joint spaces in the op reports for ablations and medial branch blocks... I was asked to review work for a coder who has more...
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