Results 1 to 2 of 2

Facet injection

  1. #1
    Default Facet injection
    Exam Training Packages
    PATIENT HAD L3-4, L4-5 facet injection
    Do I code

    64493 LT
    64493 RT
    64494 LT
    64494 RT
    or with 50 modifer , or ? THANKS

  2. #2
    Default Insurance is the answer
    Whether you use a -50 modifier or -LT/RT modifiers is dependant on the insurance. Look at previous claims from this insurance, or make a call, or file a claim and wait for the outcome. If it is Medicare, then I believe in an ASC setting they will want -LT/RT. UHC will generally also want -LT/RT. BCBS sometimes want -50, but sometimes wants units (yes, for a bilateral!). Other insurances are weirder, some wanting the first line as -LT, and the second line as -50 -RT. So check the particular insurance.

    Richard Mann, your pain management coder

Similar Threads

  1. Lumbar facet injection
    By steph2355 in forum Anesthesia
    Replies: 2
    Last Post: 07-14-2014, 07:13 AM
  2. Facet Cyst aspiration and Facet Injection
    By in forum Orthopaedics
    Replies: 1
    Last Post: 06-25-2012, 04:17 PM
  3. Facet and SI Injection w/ Fluoro
    By missyah20 in forum Anesthesia
    Replies: 11
    Last Post: 03-23-2010, 02:30 PM
  4. Facet injection
    By MICHB010375 in forum Medical Coding General Discussion
    Replies: 4
    Last Post: 08-19-2009, 08:57 AM
  5. facet injection
    By bella2 in forum Outpatient Facilities
    Replies: 4
    Last Post: 09-02-2008, 12:23 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.