ashley2421
New
Paravertebral facet joint injections from L3-S1 is very confusing to me- because L3-L4, is one level of nerves, L4-5 is another and L5-S1 is another so is that not 3 levels? If its not an example of 3 levels injected than what is?
specifically with ultrasound guidance 0216T lumbar or sacral, single level +0217T for second level, and +0218T for third level
I understand the nerves from the previous levels innervate with the levels below but how is L3-S1 anything but 3 levels?
Also on the AAPC website they give an example, (given it is for Fluoroscopic guidance but I believe it still applies) Under fluoroscopic guidance, bilateral facet joint injections at L3-L4 and L4-L5. Report codes 64493-50 (first level, bilateral) and 64494x2 (second level, bilateral). So given that official AAPC example- wouldn't going down to S1 mean another level?
Thank you so much in advance for any guidance on this!
specifically with ultrasound guidance 0216T lumbar or sacral, single level +0217T for second level, and +0218T for third level
I understand the nerves from the previous levels innervate with the levels below but how is L3-S1 anything but 3 levels?
Also on the AAPC website they give an example, (given it is for Fluoroscopic guidance but I believe it still applies) Under fluoroscopic guidance, bilateral facet joint injections at L3-L4 and L4-L5. Report codes 64493-50 (first level, bilateral) and 64494x2 (second level, bilateral). So given that official AAPC example- wouldn't going down to S1 mean another level?
Thank you so much in advance for any guidance on this!