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Thread: 64450 Do we bill by units

  1. #1

    Question 64450 Do we bill by units

    AAPC: Back to School
    Do I bill 64450 with multiple units or by line items? We are treating 5 nerves B/L and I have tried several attempts and had no success for reimbursment? Please help!

  2. #2
    Join Date
    Apr 2007


    64450- 50 modifier
    64450-50 51
    64450-50 51
    64450-50 51
    64450-50 51

    You stated 5 nerves blocked bilateral which I set up as 5 separate line items with the bilateral procedure modifier.

    Might need also

    A additional note on the claim:

    Documentation available upon request


    A letter of medical necessity stating the purpose of the procedure and how the blocking this many nerves in one session could accomplish greater benefit for the patient versus doing only a lower number of levels. If the explanation makes sense then the carrier will feel that this quantity is justified.

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