With the new codes additional notes are not as needed to explain what was going as they were prior to 2010. With these new codes, they can only be reported with quantity one. The final code for cervical or thoracic blocks states that it includes 3rd or ANY additional levels. So even if the physician performed blocks that correspond to 4 facet levels, you would only have three codes 64490 64491 64492. You would want to determine if this was bilateral or RT/LT and report this on the claim. From a lot of the posts that I see, many coders are billing bilateral procedures in an ASC setting for the facility portion as:
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