Wiki COUNTING LEVELS Injections 64483-34484

[Yoli]

Hi List,
Just need confirmation on how to count levels for Transforaminal EPI injections. In the 2 Examples below, would the following be the correct Levels ? (According to NASS "coding senarios for comprehensive spine care") They give similar examples.

Example # 1: Physician performed a right transforaminal epidural injection on the.... L3,L4
Total Levels Billed: One Level
L3-L4 Modifier -Rt Unit 1

Example # 2: Physician performed left transforaminal epidural injections on ....L3,L4,L5.
Total Levels Billed: Two Levels
L3-L4 Modifier -Lt Unit 1
L4-L5 Modifier -Lt Unit 1

Thanking you in advance,
Yoli Snyder CPC, MCS-P, CCP
Reno Orthopaedic Clinic and Surgery Center
Reno, NV

 

[jdemar]

There is an add on code for each additional level: 64483-LT, 64484-LT.

 

[Yoli]

Sorry, on the SUBJECT line, I meant to type 64484 for the add'l level.
My question is regarding counting the levels.
TIA
Yoli

 

[RebeccaWoodward*]

Hi List,
Just need confirmation on how to count levels for Transforaminal EPI injections. In the 2 Examples below, would the following be the correct Levels ? (According to NASS "coding senarios for comprehensive spine care") They give similar examples.

Example # 1: Physician performed a right transforaminal epidural injection on the.... L3,L4
Total Levels Billed: One Level
L3-L4 Modifier -Rt Unit 1

Example # 2: Physician performed left transforaminal epidural injections on ....L3,L4,L5.
Total Levels Billed: Two Levels
L3-L4 Modifier -Lt Unit 1
L4-L5 Modifier -Lt Unit 1

Thanking you in advance,
Yoli Snyder CPC, MCS-P, CCP
Reno Orthopaedic Clinic and Surgery Center
Reno, NV

Example one: L3-L4 64483
Example two: L3-L4 64483 L4-L5 64484

The transforaminal injections (64479-64484) may be reported, both, per level and per side.

 

[Yoli]

Example one: L3-L4 64483
Example two: L3-L4 64483 L4-L5 64484

The transforaminal injections (64479-64484) may be reported, both, per level and per side.

Rebecca,
Thank you, that's what I wanted to have confirmed. that
L3-L4= One Level 64483
L3-L4 and L4-L5= Two Levels 64483 1st level + 64484 add'l level


Yoli