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Pain Management Coding Alert

Reader questions:

Get Payer Advice for Reporting Bilateral GON Block

Question: I need advice on how to code for Medicare versus commercial payers when reporting 64405 as bilateral. I’ve seen several different ways that coders report it. What kinds of guidelines exist? Louisiana Subscriber Answer: When submitting 64405 (Injection, anesthetic agent; greater occipital nerve) as bilateral, Medicare requires that you include modifier 50 (Bilateral procedure) with a single unit of service and [...]

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