• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki facet injection

Create Wiki
B

bella2

Guru
Messages
172
Location
Spring Hill, FL
Best answers
0
Just wanted to ask the group how a facet injection should be coded.
If the Doctor specifies L2-L3, L3-L4, L4-L5 what would you code ???
At my facility we are told to code 64475, 64476,64476,64476.
Please help with this question as I believe it could be wrong, to me it should be coded as 3 levels, 64475,64476,64476. I really appreciate all responses.
 
Facet Level coding

Hi,

Yes you are correct....facet level injections are done at each intervertebral level and not each vertebrae. Thus in this case L2-L3 is one level for which the code would be 64475, L3-L4 would be second level for which the code would be 64476 and for L4-L5 it would be third level for which the code would be 64476 again. Thus it becomes 64475 and 64476 x 2. These are unilateral codes if done bilaterally would come with modifier 50 and if fluoroscopic guidance mentioned then it would also come with 77003.

Thanks,
Dr Kusuma.
 
You must log in or register to reply here.
Top