Tara Posted 6 month(s) ago
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)
THANK YOU FOR YOUR HELP. TARA
SuperCoder Posted 6 month(s) ago
>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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