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Tara Posted Mon 30th of October, 2017 13:20:24 PM
THE PYSICIAN DID BILATERAL MEDIAL BRANCH BLOCKS AT L2, L4, AND THE DORSAL RAMUS 5. HE COULD NOT DO THE L3 DUE TO DIFFICULTY OF ACCESS SECONDARY TO SCOLIOSIS. WOULD I BILL 2 LEVELS WITH MODIFIER 52 SINCE THE L3 WAS NOT DONE?64493-50-52 (L2-L3) 64494-50-52 (L3-L4) 64495-50 (L4-L5) THANK YOU FOR YOUR HELP. TARA
SuperCoder Answered Tue 31st of October, 2017 02:47:52 AM

HELLO

>A medial branch nerve block is a procedure in which an anesthetic is injected near small medial nerves connected to a specific facet joint. At level L2-L3, L2 nerve is injected; at L3-L4 level, L3 nerve is injected; at L4-L5 level, L4 nerve is injected; at L5-S1 level, L5 nerve is injected, and so on. As per above scenario, for L2-L3, CPT code 64493-50 (single level injection) will be billed without 52-modifier since L2 nerve is involved in it. For L3-L4, no CPT will be billed since L3 nerve is involved in it and it was not injected due to scoliosis. For L4-L5, CPT code 64494-50 (add-on code for second level injection) will be billed without 52-modifier since L4 nerve is involved in it.

>HOPE THIS HELPS!

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