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Thread: Paravertebral facet joint injection

  1. #1

    Default Paravertebral facet joint injection

    AAPC: Back to School
    We are having trouble with our back injections getting paid by Medicare.... I bill the following codes

    62311 x 1
    64493 50 x 2 (bilateral)
    64494 50 x 2 (bilateral)
    64495 50 x 4 (bilateral, 2 levels)

    This is for L1 thru S2... usually 4 or 5 bilateral injections for 721.3

    Any suggestions? Thanks.

  2. #2
    Join Date
    Apr 2007
    Columbia, MO


    First - you cannot report units greater than 1 for any of these codes. You can use the 50 modifier but it has to be reported with 1 unit.
    second - 64495 cannot be reported more than once per day, so even if you did 4 levels you can only report 3. Your denial was probably for MUE or units out of range. so you can report
    62311 1 unit
    64493 50 1 unit
    64494 50 1 unit
    64495 50 1 unit
    medicare should like it this way, I have billed these may times since the codes changed and this is the way my claims go out and are always paid.

    Debra A. Mitchell, MSPH, CPC-H

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