Wiki Facet injections limitations of coverage

[rc724]

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.

 

[jmcpolin]

Injections do not exceed a frequency parameter of more than once
every three (3) months per joint or four (4) blocks per joint per
year;