lburns23
Guest
I am the biller & coder for an interventional pain management clinic, and I just received my new CPT 2020 book. For paravertebral facet injections, they have added new text that says:
"For bilateral paravertebral facet injections procedures, report 64490, 64493 with modifier 50. Report add-on codes 64491, 64492, 64494, 64495 twice, when performed bilaterally. Do not report modifier 50 in conjunction with 64491, 64492, 64494, 64495."
However, in the add-on codes 64492 and 64495, they say "Do not report 64492 [64495] more than once per day." These two statements seem conflicting to me, unless they mean we cannot bill 64492/64495 again in a separate encounter on the same day?
So if we do a third level bilaterally, I cannot use the 50 modifier and supposedly I also can't bill two units of 64492/64495? Is there a way to get properly reimbursed for this?
Thank you!
"For bilateral paravertebral facet injections procedures, report 64490, 64493 with modifier 50. Report add-on codes 64491, 64492, 64494, 64495 twice, when performed bilaterally. Do not report modifier 50 in conjunction with 64491, 64492, 64494, 64495."
However, in the add-on codes 64492 and 64495, they say "Do not report 64492 [64495] more than once per day." These two statements seem conflicting to me, unless they mean we cannot bill 64492/64495 again in a separate encounter on the same day?
So if we do a third level bilaterally, I cannot use the 50 modifier and supposedly I also can't bill two units of 64492/64495? Is there a way to get properly reimbursed for this?
Thank you!
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