Wiki facet injection

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bella2

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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.
 
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