• 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.
  • We're introducing new features and a new look to make the forums easier to use and more valuable to you. See what's new and let us know what you think!

Help/ 64483 & 64484

AWHITACRE

Contributor
Messages
24
Best answers
0
Doctor performed Right and Left transforaminal epidural injection at L5 level. Can this be billed as 64483 and 64484 or is this consider 1 level? Again this is a bilateral procedure
at L5.
 

dwaldman

True Blue
Messages
1,600
Best answers
0
The correct way to report this is 64483-50. When it says "each additional level" in the descriptor for 64484, you would want to only want to use the add on code if a separate level was performed. There is a article from MLN Matters on the 50

https://www.cms.gov/MLNMattersArticles/downloads/MM6518.pdf

You would also want to follow this concept with Facet Injections this was an issue in the past and was brought in this report.

http://oig.hhs.gov/oei/reports/oei-05-07-00200.pdf

single level use RT LT or 50
For each additional level use the add on code with the appropriate modifier
 
Top