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62311 with 64622 on different sides and different levels

  1. #1
    Default 62311 with 64622 on different sides and different levels
    Medical Coding Books
    Please help me!!!!

    I am in Tn and Medicare is the insurance carrier for patient. Per documentation, a translaminar epidural steroid injection (62311) was given Right L5-S1 and then a medial branch block with rhizotomies was given Left L3, L4, and L5.

    When I checked for bundling it said these two procedure could not be billed together and that no modifier was allowed. However, the injections were given at different levels and on different sides. Could I not put a 59 modifier to indicate different levels?

    Any help would be greatly appreciated. Thanks.

  2. #2
    Green Bay, WI
    I have the exact same question! Can anyone advise?

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