AAPC - Back to school
Results 1 to 3 of 3

Thread: 62311 billed with 64635

  1. #1

    Default 62311 billed with 64635

    AAPC: Back to School
    CCI edits for 2012 are showing these two procedures cannot be billed together and no modifier is allowed. Could we bill 62311 with a 59 modifier if injection is given at different level than 64635 even if done on the same side?

    Right L5-S1 translaminar epidural steroid injection with epidurogram
    Right L3-4-5 median branch blcoks with rhizotomies

    Any help would be greatly appreciated. Thanks.

  2. #2


    My instinct says this is probably going to be denied BUT I would agree with you in adding the -59. They are different locations so the provider should not be marked down or not given credit for his/her work. Good luck with this one

    Kelsey, CPC

  3. #3
    Join Date
    Apr 2007


    I would use the opputurnity to show the provider who perform the procedure that epidural and radiofrequency performed during the same session will not allow separate payment for the epidural, so he is aware of this code pair and the restrictions. This is also something you can go over with the precertification department. When looking at future scheduled procedures, this code combination would be something that could make them run thru a CCI check the codes and alert the physician prior to the procedure about the bundling issues.

    When no modifier is allowed, I personally don't report the column two procedure with the 59. I just accepted it as a bundled procedure and only report the colunn one code.

Similar Threads

  1. 64635/64636
    By KDCOWGIRL in forum Anesthesia
    Replies: 13
    Last Post: 09-09-2013, 07:04 AM
  2. Asa crosswalk code for 64635
    By jebapriyaben in forum Anesthesia
    Replies: 4
    Last Post: 07-18-2013, 06:17 AM
  3. Denial CPT - I just recently started
    By LaVoncye in forum Anesthesia
    Replies: 3
    Last Post: 01-23-2013, 02:59 PM
  4. Procedure 62311 billed with 64635
    By cyclingjunkie in forum Orthopaedics
    Replies: 0
    Last Post: 01-25-2012, 07:36 AM
  5. Replies: 1
    Last Post: 04-24-2008, 08:36 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.