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62264 & j3470/j3471

  1. #1
    Default 62264 & j3470/j3471
    Medical Coding Books
    Has anyone had any luck with getting these codes paid either by Medicare of Commerical?

  2. #2
    BCBS of Georgia considers that procedure "experimental". I have posted a link to the policy below. Medicare used to have either an LCD or NCD that said the same thing, but I could not locate it.
    Last edited by Walker22; 03-10-2010 at 12:43 PM.
    Walker Bachman, CPC, CPPM

  3. Default
    Walker is right, MC does consider this procedure unproven; however, they have been paying our claims in spite of this. We don't file the J codes so I can't help you there.

    Walker, for MC that info is included in the LCD for Epidurals.

  4. #4
    ^^^ I knew I had seen it somewhere, but couldn't remember where. Thanks!
    Walker Bachman, CPC, CPPM

  5. Default
    You're welcome.

  6. Default
    I also have been getting paid by Highmark Medicare for this code w/out any problems. we do not bill any J codes either

  7. #7
    Thank You for all of your responses. But, I have another question. Why do you not bill the J codes?

  8. Default
    You only bill the J codes if you're provider is paying for/providing the drugs etc. All my providers operate in hospital run pain clinics so they only bill for their services.

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