AAPC - Back to school
Results 1 to 4 of 4

Thread: Help Needed for 64493,64494,&64495 Bilateral

  1. #1

    Default Help Needed for 64493,64494,&64495 Bilateral

    AAPC: Back to School
    We are suddenly receiving clearinghouse edits on use of 64493-50,64494-50,64495-50. These codes appear to be billable as bilateral procedures. The rejection that we are receiving states ....Add-on code 64492/64495 may only be billed once daily.
    Can anyone offer any insight into what is going on with this sets of codes? Thanks!

  2. #2
    Join Date
    Apr 2007

    Lightbulb 64491,64492,64494,64495 (add on codes per seg.)

    I have run into this on several back procedures: the add on codes specify the additional segments treated. So if for ex: L5 bilateral then you would code: two segments being treated. One on each side. 64493 and 64494 and so forth.

  3. #3


    Thank you for your response, but I am still confused on this. If we performed 64493-50, 64494-50, & 64495-50, how would we bill this correctly, since it is rejecting in CCI edits as only being allowed once per day. According to the CPT 50 is allowed, and multiple levels are to be billed. I am not understanding what they mean by once a day.

  4. #4


    I think they mean only once per person/patient daily

Similar Threads

  1. 64493 & 64494
    By nbakhsh0609@gmail.com in forum Anesthesia
    Replies: 1
    Last Post: 01-16-2015, 06:44 AM
  2. 64493,64494,64495
    By jenbet25 in forum Anesthesia
    Replies: 5
    Last Post: 10-10-2013, 02:22 PM
  3. 2013 coding of 64493,64494,64495
    By laxmom4track in forum Medical Coding General Discussion
    Replies: 5
    Last Post: 02-11-2013, 06:11 AM
  4. 64492 & 64495
    By AimeeA10 in forum Anesthesia
    Replies: 4
    Last Post: 12-09-2011, 10:16 PM
  5. Global modifiers on procedures 62311, 64493, 64494, 64495
    By cyclingjunkie in forum Orthopaedics
    Replies: 1
    Last Post: 10-25-2010, 08:00 PM

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.