facet

  1. kimmcelderry@gmail.com

    Wiki Medicare and 3rd level facet blocks

    Hi there, recently Medicare made it policy to deny 3rd level blocks. The LCD states they can be appealed upon denial, but I'm not sure when/why a 3rd level block would be medically necessary? What are grounds for appeal? Thanks for any help.
  2. B

    Wiki Orthopedic operative report

    new to Ortho Surgery. Need help coding hte following 1-caudal epidural steroid injection 2-lumbar sine epidurogram 3- facet joint arthrogram right L4-L5 and L5-S1 4- facet joint injection right L4-L5 and L5-S1 5-injection for Myelogram dye for interpretation 6-needle localization under...
  3. L

    Wiki PLEASE HELP with Radiofrequency denials

    I work for a pain clinic and my doctors perform radiofrequncy injections. I believe we are billing them correctly 64635x1 and 64636x2 when three nerves are injected. However we have ran into issues with an insurance that is denying the additional unit and stating we can only do two (64635x1 and...
  4. J

    Wiki 53 modifier after needle placement for facet injections

    If a patient was prepped to receive facet injections, and upon the first needle placement, requested the procedure be discontinued due to her pain, would a 53 modifier be appropriate? The physician documented "Procedure aborted after single needle placed corresponding to L5 dorsal ramus at...
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