Results 1 to 3 of 3

Facet Injections

  1. #1
    Default Facet Injections
    Medical Coding Books
    I have a diagnosis of facet arthropathy and back pain. The procedure is a facet joint injection w/flouroscopic guidance for the left- L2-3, L3-4, L4-5 and the right - L3-4, L4-5, L5-S1. With two of the levels being bilateral and we can only have three levels, should I code the bilateral levels first and then pick the right or left for the third?

  2. Default
    If we're talking about 64483/4, CPT says use modifier -50 for bilateral procedures. I'd put your highest valued procedure 1st.

    Possible coding for your scenario:
    64483-50 (L3-4)
    64484-50 (L4-5)
    64484 (L2-3)
    64484 (L5-S1)
    Guidance is included in codes

    Remember, LT/RT is not CPT. I'd be sure payer accepts HCPCS modifiers before I submit that way. In this case, RT/LT would be information only not unbundling.

    Good Luck!

  3. #3
    Thank you for your response. I didn't know if you had to code the vertebrae in order. Just looking at what gives you the highest value first makes sense.

Similar Threads

  1. Facet injections
    By steph2355 in forum Neurology/Neurosurgery
    Replies: 3
    Last Post: 05-15-2013, 03:52 PM
  2. HELP! Modifier 50 and facet injections
    By smcbroom in forum Outpatient Facilities
    Replies: 0
    Last Post: 01-19-2010, 09:27 AM
  3. Facet joint injections
    By ccooke9956 in forum Medical Coding General Discussion
    Replies: 15
    Last Post: 10-16-2009, 11:49 AM
  4. Facet injections
    By jessica9902 in forum Anesthesia
    Replies: 10
    Last Post: 05-15-2009, 01:55 PM

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.