Please Help w 64483

NJcoder

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If a bilateral L5-S1 Transforaminal Epidural Steroid Injection was done, is this considered one or two levels?

64483-50

Or

64483-50
64484-50

thanks much!
 

aaron.lucas

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Cherry Hill, NJ
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That would be one level, normally with modifier -50, but that depends on the payer. Some will want you to bill with -LT/-RT and they'll apply MPR 50% reduction to one of the sides. You get paid the same (150%), it's just two different ways of going about it, and usually depends on how the payers pricing software works/how it does the calculations.
 
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