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Pain Management

  1. #1
    Red face Pain Management
    Medical Coding Books
    What is the correct code for injections in medial block L2-S1 lumbar??? Help

  2. Default
    MBB or facet injections for lumbar are 64493/64494/64495.

  3. Default
    Those are the codes our facility uses too.

  4. #4
    Default Coder
    Is there a global period for these services? I have started coding for a pain magmnt doctor and she sees patients 2 weeks post MBB and is charging 99024. Is this correct?

  5. #5
    Location
    Baton Rouge
    Posts
    1,239
    Default
    Quote Originally Posted by MRVance View Post
    Is there a global period for these services? I have started coding for a pain magmnt doctor and she sees patients 2 weeks post MBB and is charging 99024. Is this correct?
    These codes do not have a global period.
    Meagan Strauss, CPC, CEMC
    Coding Coordinator
    The NeuroMedical Center
    Baton Rouge, LA

  6. #6
    Default Bilateral Facet Injections
    How would you code 64493 and 64494 bilaterally? Do you use a 50 or LT and RT? Please advise.

    Debbie

  7. #7
    Lightbulb
    Medicare requires that you separate them our using -LT & -RT modifiers (64493-LT, 64493-RT, 64494-LT, 64494-RT). you would bill bilateral with a -50 modifier on each code for commercial, but check your contracts to be sure. In the contract language it will tell you how they want you to code/bill for bilateral procedures.


    Quote Originally Posted by debbie.denson74 View Post
    How would you code 64493 and 64494 bilaterally? Do you use a 50 or LT and RT? Please advise.

    Debbie
    Jennifer DeWitte, CPC, CPC-P, CPB, AAPC Fellow
    Newport Center Surgical
    Coding & Billing Department
    Vice President
    AAPC Fullerton, CA Chapter

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