AAPC - Back to school
Results 1 to 2 of 2

Thread: Medial Branch Nerve Blocks

  1. #1
    Join Date
    Apr 2007

    Default Medial Branch Nerve Blocks

    AAPC: Back to School
    How would you code the below procedure?

    Bilateral T12, L1, L2, L3, and L4 Medial Branch Nerve Block Steroid Injection and Bilateral L5 Dorsal primary Ramus nerve block steroid injection

    Missy Heuer CPC, CANPC

  2. #2
    Join Date
    Apr 2007


    Bilateral T12, L1, L2, L3, and L4 Medial Branch Nerve Block Steroid Injection and Bilateral L5 Dorsal primary Ramus nerve block steroid injection

    __________________________________________________ ____

    According to the CPT book T12-L1 should be billed lumbar.

    You would want to inquire from the physician if these are the medial branch nerves or the anatomical locations of the injections. Whether he is referring anatomical locations of the injections or the medial branch facet nerves this would be 64493 50 64494 50 64495 50

    If he is referring to T12,L1 etc as medial branch/facet joint nerves then you would have

    T12,L1 for the facet joint L1-2 64493 50
    L1,L2 for the facet joint L2-L3 64494 50
    L2,L3 for the facet joint L3-L4 64495 50
    L3,L4 for the facet joint L4-L5 included in the above code
    L4,L5 for the facet joint L5-S1 included in the above code

    If he says these are the anatomical locations

    T11, T12 blocked at T12 and L1 for facet joint T12-L1 64493 50
    T12,L1 blocked at L1 and L2 for L1-L2 facet joint 64494 50
    L1,L2 blocked at L2 and L3 or L2-L3 facet joint 64495 50
    The other levels would be included in 64495.

Similar Threads

  1. Replies: 2
    Last Post: 04-14-2015, 10:19 AM
  2. Replies: 1
    Last Post: 02-12-2013, 09:10 PM
  3. Medial Branch Blocks--HELP
    By kathymarks in forum Neurology/Neurosurgery
    Replies: 2
    Last Post: 10-29-2012, 10:13 AM
  4. Medial Branch Blocks
    By CynthiaT in forum Anesthesia
    Replies: 3
    Last Post: 12-30-2010, 10:34 PM
  5. Medial Branch Blocks
    By CynthiaT in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 12-30-2010, 11:36 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.