There is much discussion in our office on how to handle this particular situation and I was wondering if anyone out there can provide me with a firm answer please.

Pain Managment doctor performed facet injections and lumbar sympathetic block on same date of service for a patient who is not on anti-coagulants. Medicare clearly states these injections cannot be done on the same date of service unless the patient is on anti-coagulants. The Dr dictacted all injections.

What is the correct process for billing these charges to Medicare? Since the Dr performed and dictated on all injections, do we have to bill all of them to Medicare? I'm saying yes, others are saying no.

Is there somewhere in writing on the Medicare website that I can find the answer?

Thanks very much!