- Owensboro, KY
- Best answers
I code for a pain management specialist. He recently performed a lumbar facet nerve block on the bilateral L3-L4, L4-L5 and L5-S1 levels. On the same day he injected botox into the bilateral frontal, temporal and glabellar regions, upper, middle and lower trapezius and splenius capitis paraspoinal regions for migraines. Super Coder states 64493 bundles with 64615 as misuse of column two code with column one and 64495 and 64494 cannot be billed together in any circumstances with 64615. Before I send this back to the doctor, I wondered if any one would have an idea on why this is the case? I could see where a cervical nerve block would bundle with botox for migraines since it includes the cervical spinal and accesory nerves but am perplexed by the lumbar nerves. Any suggestions on where I can find information to give to my doctor? Thanks!!