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Thread: Pain Management

  1. #1
    Join Date
    Apr 2007

    Default Pain Management

    AAPC: Back to School
    Dr performed Lt L2, 3,4 and Lt L5 I billed 64622,64623, 64623, 64623 with a modifer LT

    Dr Peformed Rt L4-5 and Rt L5-S1 I billed 64622 Rt and 64623 RT

    Dr Performed Lt C3-4, 5,6 I billed 64490LT, 64491LT, 64492LT

    Dr Performed L5-S1 ESI and Lt L5-S1 I billed 62311 and 64483 LT with 59 modifer

    Dr performed Rt C5, 6, 7 I billed 64626

    Did i bill these procedures correctly

  2. #2

    Default More info please

    We would need to know whether these were ESIs, Transforaminals, Facets, RFs, etc. Just giving us a spinal level does not give us enough info.

    Richard Mann, your pain management coder

  3. #3
    Join Date
    Apr 2007


    i agree with the other post you received that what the name of the procedure would be necessary. If an intralaminar epidural 62311 and a transforaminal epidural was performed at the same level, the 59 would not be appropriate because both procedures were performed at the same anatomical site. I would bill only 64483.

  4. #4


    Also, are these all performed on the same pt, same session, or are they different pts. I agree, not enough info.

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