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Answers to Compliance and Medical Coding Questions.
  1. Pam Posted 6 Year(s) ago

    New to pain management and need to know how to bill 62311 multiple injections left and right w/77003.

  2. SuperCoder Posted 6 Year(s) ago

    Only one (1) unit of 62311 should be billed and allowed per spinal region [cervical/thoracic, lumbar/sacral (caudal)], no matter how many injections are made in that region.

    The CPT codes 62311 each have a bilateral surgery indicator of "0." Modifier -50 and/or the anatomic modifiers, -LT/-RT should not be used.

    An imaging guidance code is billed only once per session for CPT code 77003.

  3. Bridget Posted 6 Year(s) ago

    Hi, Pam, I thought I'd add a bit more info to Sanjit's post.
    This type of injection is sometimes called an "interlaminar epidural injection" because of the technique used. The injection is performed directly through the lamina until the needle is positioned close to the midline in the back of the epidural space. According to info I found on the American College of Radiology's website, you can't usually describe the procedure as unilateral or bilateral because of the needle positioning. That might help explain the bilateral surgery indicator of "0" and why you don't include 50, LT or RT.
    I hope that helps a bit!

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  • Posted by 14514 Pam, 6 Year(s) ago. There are 3 posts. The latest reply is from Bridget.