Results 1 to 5 of 5

Lumbar epidural coding

  1. #1
    Monmouth New Jersey
    Question Lumbar epidural coding
    Medical Coding Books

    Which code should be first?

    64483 for an L5 (right)
    64484-50 for an S1 (bilateral)

    Does the bilateral code come first and a modifier 50 go on 64483 or is the first way the way to bill for the service?

    I'm thinking since the 64484 is an add-on code it must be coded the first way I listed but does it need to be listed twice?

    Last edited by kristin419; 10-03-2011 at 12:30 PM. Reason: wrong code

  2. #2
    Baton Rouge
    IMO, (without seeing the procedure note), the codes would be:


    The 64484 has to be second due to it being an add-on code.

    Hope this helps!!
    Meagan Strauss, CPC, CEMC
    Coding Coordinator
    The NeuroMedical Center
    Baton Rouge, LA

  3. Smile Kep
    I would code by 64483 Rt and 64484 50 as well. You should always code the primary code first and then the add on for the additional levels. Since L5 comes before S1 anatomically you code for the L5 level first (64483) and then the additional level (64484)with the add on code and add the modifiers appropriately for the work done at each level.

  4. #4
    My only concern is 64483 and 64484 are transforminal injections. Is the procedure truly a lumbar epidural (the needle placed in the epidural space)?

  5. Default
    Correct coding sequence is-

    Rajesh Verma, CPC
    Last edited by rajeshverma607; 11-02-2011 at 06:17 AM.

Similar Threads

  1. Evacuation of lumbar epidural hematoma
    By Lori22 in forum Orthopaedics
    Replies: 0
    Last Post: 11-13-2012, 12:42 PM
  2. Lumbar Epidural Coding
    By mcalonzo2000 in forum Anesthesia
    Replies: 2
    Last Post: 04-03-2012, 09:39 AM
  3. Help: Coding lumbar epidural steroid inj for w/c
    By Ketti in forum Employment General Discussion
    Replies: 4
    Last Post: 06-13-2011, 12:37 PM
  4. Lumbar epidural hematoma
    By todd5400 in forum Diagnosis Coding
    Replies: 2
    Last Post: 03-30-2009, 02:52 PM
  5. Lumbar Epidural - Coding question
    By coderguy1939 in forum Anesthesia
    Replies: 2
    Last Post: 06-04-2008, 10:58 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.