Based on all of the recent controversy regarding payment issues with the facet injections and the OIG coming down on practices that are doing this incorrectly, I would have to disagree with breaking them out per line item (unless you code for an ASC and its a Medicare patient since those are different guidelines)I believe the information you recieved for the 8 facet injections in the neck was incorrect.. I bill facet injections all the time and have no problem w/ recieving payment. CPT codes 64475 & 64476 are for facet injections to the lumbar spine, and the facet injections your Dr gave was to the C/S. The correct way to code this is:
I Normally only bill a max of 6 injections at one time, our Dr's have never given 8 at once. Also, the correct HCPCs code for depo-medrol is J1030.
I hope this helps
Per the September 2004 CPT Assistant, it states:So is billing done according to how many injections were actually done, or is it by level?
Example- Bilateral injections done at L4-L5. Would it be correct to say:
64475 x 2 (LT AND RT)