Results 1 to 3 of 3

Cpt coding - use the procedure

  1. #1
    Default Cpt coding - use the procedure
    Exam Training Packages
    Not sure which cpt codes to use the procedure the dr did a Bilateral L3, 4, 5 medican branch radiofrquwncy ablation he has marked 64622x1 and 64623 x 5 I need a second opinion cause I truly believe what the dr has checked is incorrect. Thanks

  2. #2
    (These are my opinions and should not be construed as being the final authority. Other opinions may vary.)

    64623-50 x2

    Richard Mann, your pain management coder

  3. #3
    It looks like he listing these out the way the OIG were pointed out that this is incorrect reporting when they put out the facet block report. They said that if you are doing a single say L3 the appropriate way to bill this bilateral is with the 50 modifier so the code processing at 150%. In this case the level equals the nerve if you would confiquring by using modifier 50 it would be L3 64622 50 L4 64623 50 and L5 64623 50. If you were precerting the procedure ahead of time and you needed to use quantity for the auth versus the 50 this would be 64622 x2 at L3 and 64623 x4 at L4 and L5 performed bilaterally. You would want to point out to the physician that to account for a bilateral procedure you can not use the add on code to denote another side was done. These codes are listed per level ----add on codes are additional levels not additional sides.

Similar Threads

  1. Coding ER Cpt code or outpatient cpt code
    By tkd in forum Emergency Department
    Replies: 2
    Last Post: 02-17-2012, 09:53 AM
  2. Modifier for coding CPT 64612 & CPT 64613 on same day
    By anuja.devasthali in forum Modifiers
    Replies: 2
    Last Post: 08-22-2009, 12:33 AM
  3. Coding for CPT 97140 & CPT 97035
    By neha.bhatnagar in forum Modifiers
    Replies: 5
    Last Post: 06-10-2009, 12:01 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.