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facet injection

  1. Default facet injection
    Medical Coding Books
    Just wanted to ask the group how a facet injection should be coded.
    If the Doctor specifies L2-L3, L3-L4, L4-L5 what would you code ???
    At my facility we are told to code 64475, 64476,64476,64476.
    Please help with this question as I believe it could be wrong, to me it should be coded as 3 levels, 64475,64476,64476. I really appreciate all responses.

  2. #2
    Amarillo Texas Chapter
    Default Facet Level coding

    Yes you are correct....facet level injections are done at each intervertebral level and not each vertebrae. Thus in this case L2-L3 is one level for which the code would be 64475, L3-L4 would be second level for which the code would be 64476 and for L4-L5 it would be third level for which the code would be 64476 again. Thus it becomes 64475 and 64476 x 2. These are unilateral codes if done bilaterally would come with modifier 50 and if fluoroscopic guidance mentioned then it would also come with 77003.

    Dr Kusuma.

  3. #3
    I agree with kusuma.

    77003-TC (if applicable)

  4. Default
    Thanks for responding, I really appreciate it. As it was dicussed at work
    we coded the same. Thanks Again..Sandra

  5. #5
    I also agree with kusuma....that's how I code them in our ASC.

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