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Thread: Help with 62290 & 72295

  1. #1

    Unhappy Help with 62290 & 72295

    AAPC: Back to School
    There is some debate here about whether you can code 62290 & 72295 together. Can they be billed together? Also, the way descriptor for 72295 looks, you can only bill it once not matter how many levels are done??? If anyone can please point me in the right direction I would greatly appreciate it. This is not a Medicare patient it's Aetna.

    Thank you!
    Susan, CPC-H

  2. #2
    Join Date
    Apr 2007
    North Carolina


    Per the AMA:

    If you performed this procedure on L2-3, L3-L4, L4-L5, & L5-S1 (example), you could report 62290 four times since four levels were imaged. Also, 72295 may be reported four times for the radiological supervision and interpretation as this code can be reported for each lumbar level.

    Reference: CPT Assistant April 2003

  3. #3


    thank you for posting so fast....now let me get this right, the 62290 is for the injection and the 72295 is what exactly for? the time for the physician performing the discogram? I guess I'm confused since this is for an ASC billing and I'm not understanding how we bill for physician interpretation since all services are included in ASC billing. Just need to get this straight for my own peace of mind.


  4. #4
    Join Date
    Apr 2007
    Athens, Ga.


    72295 is the radiological part of the procedure. The ASC would bill it with a -TC modifier and the physician would bill it with a -26 modifier.
    Walker Bachman, CPC, CPPM

  5. #5


    thanks Rebecca, that clarifies it for me.

    have a good day!!

  6. #6
    Join Date
    Apr 2007
    Athens, Ga.


    My name's not "Rebecca", but you're welcome anyway! LOL
    Walker Bachman, CPC, CPPM

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