Facet Joint injection with Aetna

[Blackhorse]

Aetna consider facet joint injection (64493-64495) experimental and investigational. I think they only pay 2 sessions during a 3-4 years period. If PT requires injection and wants to pay cash, do we need to have them fill out an ABN?

 

[SharonCollachi]

Only Medicare requires ABN. HOWEVER, it is always, always, ALWAYS good practice to have the patient sign a document that contains the items that an ABN does. It will avoid a lot of problems in the future.

 

[lburns23]

We do have our Aetna patients self-pay if they want facet joint injections. They all sign a document similar to an ABN.

 

[Blackhorse]

We do have our Aetna patients self-pay if they want facet joint injections. They all sign a document similar to an ABN.

Thank you.