kathydaniel
Networker
We have a debate going on in our office in regards to code 64490. When a physician performs a medial nerve branch block he has to inject the medial nerve above and below the facet joint he's wanting to affect. The debate comes into play when we're deciding how many levels to code.
For example: The patient has symptoms in the L4-L5 facet joint. The physician injects the medial nerve at L4 and the nerve at L5.
Do you code 1 level for the joint (L4-L5) affected? code 64490
OR
Do you code 2 levels for the 2 injections (L4 & L5) given? code 64490 and 64491
Any feedback would be greatly appreciated!!!
Kathy
For example: The patient has symptoms in the L4-L5 facet joint. The physician injects the medial nerve at L4 and the nerve at L5.
Do you code 1 level for the joint (L4-L5) affected? code 64490
OR
Do you code 2 levels for the 2 injections (L4 & L5) given? code 64490 and 64491
Any feedback would be greatly appreciated!!!
Kathy