ksellman
Guest
Had anyone has any guidance on how to bill for medial branch blocks on different levels in the cervical region that you have performed on the 1st and & 2nd MBB?
Ex:
We performed c2-c3 mbb 1 & 2 - not effective, but patient still experiencing neck pain
We performed c5-c7 mbb 1 & 2 - patient had relief from this one, but insurance wont pay as they already paid for c2-c3
Their medical policy only states 3 levels unilateral or bilateral only, doesnt state if/when there could be an additional mbb performed on either same or other levels.
We appealed this and it was denied stating the above, but I wanted to see if anyone else had any luck with appealing this matter.
Ex:
We performed c2-c3 mbb 1 & 2 - not effective, but patient still experiencing neck pain
We performed c5-c7 mbb 1 & 2 - patient had relief from this one, but insurance wont pay as they already paid for c2-c3
Their medical policy only states 3 levels unilateral or bilateral only, doesnt state if/when there could be an additional mbb performed on either same or other levels.
We appealed this and it was denied stating the above, but I wanted to see if anyone else had any luck with appealing this matter.