• 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 your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
  • Important Note: We will be performing a scheduled maintenance on 1st November 2020. The site will be offline from 7:30PM (MT) till midnight. We apologize for any inconvenience this may cause.

Facet injections limitations of coverage


Best answers
Hi All!

I hope someone out there can clarify Medicare's LCD for Facet Joint injections, (AZ)
The LCD states" a maximun of 4 facet injections sessions per year in the spine. A session is defined as all injections performed on one single date of service"

So can we see the patient 4 times in a row- meaning weekly- or as I imagined it once every 3 months?

Also Medicare is changing our EOB's to include modifier 51,( we already bill with modifier 50) on 64493 and trigger points 20553 does anyone know what this is about? they are putting both of them on our eobs.
Last edited:


True Blue
Midvale, UT
Best answers
Injections do not exceed a frequency parameter of more than once
every three (3) months per joint or four (4) blocks per joint per