AAPC - Back to school
Results 1 to 3 of 3

Thread: Facet Joint

  1. #1
    Join Date
    Apr 2007

    Default Facet Joint

    AAPC: Back to School
    Doctor performed the Right C2-C3 and C3-C4 C4-C5 and C6-C7 median branch block I billed 64490, 64491, 64492 and 64492 did I bill correctly

  2. #2


    (These are my opinions and should not be construed as being the final authority. Other opinions may vary.)

    Look in your CPT book at the parenthetical note under 64492; "(Do not report 64492 more than once per day)". You have billed 64492 twice in your example above. What CMS/AMA are doing is not allowing billing for more than three facet injections per session (or six if bilateral). If your doc does additional level(s), he will not be reimbursed for those level(s). In your example above, he gave the patient a free injection at C6/7.

    Richard Mann, your pain management coder

  3. #3


    I agree only 3 levels are billable, you may also want to append a modifier to indicate which side the injections were done on.


Similar Threads

  1. Facet Joint Injection - Looking for feedback
    By Pmentzer in forum Neurology/Neurosurgery
    Replies: 3
    Last Post: 07-10-2012, 08:16 AM
  2. Facet Joint Injection help!!!
    By mamacase1 in forum Diagnosis Coding
    Replies: 1
    Last Post: 07-02-2010, 09:36 AM
  3. Facet joint injection
    By vmounce in forum Outpatient Facilities
    Replies: 2
    Last Post: 01-11-2010, 01:44 PM
  4. Facet joint injections
    By ccooke9956 in forum Medical Coding General Discussion
    Replies: 15
    Last Post: 10-16-2009, 11:49 AM

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.