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COUNTING LEVELS Injections 64483-34484

  1. #1
    Default COUNTING LEVELS Injections 64483-34484
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    Hi List,
    Just need confirmation on how to count levels for Transforaminal EPI injections. In the 2 Examples below, would the following be the correct Levels ? (According to NASS "coding senarios for comprehensive spine care") They give similar examples.

    Example # 1: Physician performed a right transforaminal epidural injection on the.... L3,L4
    Total Levels Billed: One Level
    L3-L4 Modifier -Rt Unit 1

    Example # 2: Physician performed left transforaminal epidural injections on ....L3,L4,L5.
    Total Levels Billed: Two Levels
    L3-L4 Modifier -Lt Unit 1
    L4-L5 Modifier -Lt Unit 1

    Thanking you in advance,
    Yoli Snyder CPC, MCS-P, CCP
    Reno Orthopaedic Clinic and Surgery Center
    Reno, NV

  2. #2
    Location
    Greater Pittsburgh
    Posts
    390
    Default
    There is an add on code for each additional level: 64483-LT, 64484-LT.
    jdemar, CPC, CMA

  3. #3
    Default
    Sorry, on the SUBJECT line, I meant to type 64484 for the add'l level.
    My question is regarding counting the levels.
    TIA
    Yoli

  4. #4
    Location
    North Carolina
    Posts
    3,126
    Default
    Quote Originally Posted by Yoli View Post
    Hi List,
    Just need confirmation on how to count levels for Transforaminal EPI injections. In the 2 Examples below, would the following be the correct Levels ? (According to NASS "coding senarios for comprehensive spine care") They give similar examples.

    Example # 1: Physician performed a right transforaminal epidural injection on the.... L3,L4
    Total Levels Billed: One Level
    L3-L4 Modifier -Rt Unit 1

    Example # 2: Physician performed left transforaminal epidural injections on ....L3,L4,L5.
    Total Levels Billed: Two Levels
    L3-L4 Modifier -Lt Unit 1
    L4-L5 Modifier -Lt Unit 1

    Thanking you in advance,
    Yoli Snyder CPC, MCS-P, CCP
    Reno Orthopaedic Clinic and Surgery Center
    Reno, NV
    Example one: L3-L4 64483
    Example two: L3-L4 64483 L4-L5 64484

    The transforaminal injections (64479-64484) may be reported, both, per level and per side.

  5. #5
    Default
    Quote Originally Posted by rebeccawoodward View Post
    Example one: L3-L4 64483
    Example two: L3-L4 64483 L4-L5 64484

    The transforaminal injections (64479-64484) may be reported, both, per level and per side.
    Rebecca,
    Thank you, that's what I wanted to have confirmed. that
    L3-L4= One Level 64483
    L3-L4 and L4-L5= Two Levels 64483 1st level + 64484 add'l level


    Yoli
    Last edited by Yoli; 03-01-2010 at 07:44 PM. Reason: to finish sentence

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