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Facet joint injections

  1. Default Facet joint injections
    Medical Coding Books
    Can someone give me help on how to code the following?
    bilateral C2, C4, C6 and C8 facet joint injections

    Thanks so much,
    Candace

  2. #2
    Location
    Albany, New York
    Posts
    456
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    To ensure providing you with an accurate response, please indicate the substance(s) injected.
    Also, was any radiological guidance utilized? (In case in have to code that as well)
    Karen Maloney, CPC
    Data Quality Specialist

  3. #3
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    64470-64472 code range

    In your response to Karen's request, you may also want to indicated who you code for (doctor, ASC, Hospital etc)

  4. #4
    Location
    Albany, New York
    Posts
    456
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    Code Range 64470-64472 is for injection of steroid and/ or an anesthetic.

    If a Neurolytic is injected, code range is 64626-64627.

    If any other type of substance is injected, this falls to 64999.
    Karen Maloney, CPC
    Data Quality Specialist

  5. Default
    Thanks for your responses, the medication is Depo-Medrol, bilateral, multilevel. This is being billed from a physician office.

  6. #6
    Location
    Albany, New York
    Posts
    456
    Smile
    So it is a steroid injection.
    Karen Maloney, CPC
    Data Quality Specialist

  7. Default
    Is the below correct?
    64475 -50 - 1 unit
    64476 -50 - 1 unit
    64476 -50 - 1 unit
    64476 -50 - 1 unit
    J3301

    Thanks for any and all feedback. Not sure if I should bill one unit vs two units.

  8. #8
    Default
    Since you using '50' modifier is '1' unit...so it is correct
    NoRaX

  9. Default
    Thank you all very much

  10. Default Facet Injections
    I believe the information you recieved for the 8 facet injections in the neck was incorrect.. I bill facet injections all the time and have no problem w/ recieving payment. CPT codes 64475 & 64476 are for facet injections to the lumbar spine, and the facet injections your Dr gave was to the C/S. The correct way to code this is:
    64470 RT
    64470 LT
    64472 RT
    64472 LT
    64472 59RT
    64472 59LT
    64472 59RT
    64472 59LT

    I Normally only bill a max of 6 injections at one time, our Dr's have never given 8 at once. Also, the correct HCPCs code for depo-medrol is J1030.

    I hope this helps

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