can you code 64635 and 64636 with (64493 and 64494)

[Jennifer17]

can you code 64635 and 64636 with (64493 and 64494)
Any advice you can provide me- I am new to pain management

Thanks!

 

[Melissa Harris CPC]

It is either a MBB/Facet injection or a Radiofrequency. I doubt the physician would do both at the same visit.


Melissa Harris, CPC
The Albany and Saratoga Centers for Pain Management

 

[debbie.denson74]

Radiofrequency Bilateral Billing

How do you bill 64635 and 64636 if it is done bilaterally? Is it with a 50 modifier or Rt and Lt? My CPT books says to use 50 but do most insurances follow this? Please advise.

Thanks,

Debbie

 

[Melissa Harris CPC]

It would depend on the insurance - I bill mostly with modifier 50. However, with some workers comp we must bill LT and RT