Wiki Branch Block Global advice

[CBC]

I'm seeking advice on billing for a visit between medial branch block and radiofrequency ablation. The patient has a 64494 & 64493 done 6/1/12 and then comes back to the office 7/1/12 for a follow up visit. The physician then decides the patient is a candidate for radiofrequency ablation which the patient will be scheduled for in the near future. The E&M level meets 99213 but I would like clarification it can be billed even though related to same diagnosis for both procedures?

Thank you for advice.

 

[aaron.lucas]

You should be fine billing the office visit, no modifier needed if nothing was done on the same day. 64493 has a zero day global, so only OVs on the same day would need a modifier. The RFA isn't being done until later, so -57 wouldn't be appropriate either, you should be fine. Hope I could help!