MBB injections

lcole7465

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Toledo, Ohio
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Quick question - What is the maximum number of joints that can be injected for an MBB? The LCD states for therapeutic injections and my doctor is looking for diagnostic injection count. Does anyone know where I can find the information, I'm not having any luck.

Thank you
 
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Albany
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Looks like only 2 levels are allowed per your LCD for diagnostic injections. LCD L34832

  • Frequency with criteria
    • Two diagnostic injections are allowed per region irrespective of the joints injected with maximum of 2 joints allowable per session per region.
    • No more than 4 therapeutic facet joint nerve blocks per year are reimbursable with 2 levels per region, per session after the appropriate documentation of 80% improvement with diagnostic blocks for the duration of the local anesthetic, and with a total relief and improvement of at least 50% of 6 weeks (including > 80% relief and > 50% relief).
    • Two radiofrequency neurotomies per year involving 2 joints per region per session may be performed 2 times a year with appropriate documentation of relief with dual MBBs and 5 to 6 months of pain relief and functional improvement after

Hope this helps!
Melissa
 
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