• 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 the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Pain Management Injections

Create Wiki
V

vpaceley

Contributor
Messages
10
Location
College Station, TX
Best answers
0
When using the code 64495--if this is bilateral procedure--do you bill medicare with the modifier -50 and double the price and put the units as (1) or do you split them up with the modifier -LT or -RT?
 
"Bilateral injections are performed on the right and left sides of one joint level. The Centers for Medicare & Medicaid Services (CMS) requires physicians to indicate a bilateral injection by using billing modifier 50 and the appropriate CPT code. If a physician performs multiple bilateral injections, modifier 50 should accompany each facet joint injection CPT code"

https://www.cms.gov/MLNMattersArticles/downloads/MM6518.pdf
 
You must log in or register to reply here.
Top