Peter Posted Tue 09th of April, 2013 16:21:24 PM
OKAY IF YOU HAVE A PATIENT THAT HAD THREE LEVELS DONE DO I BILL AS FOLLOWS?
OR DO I JUST ONLY BILL OUT 64492??
THANK YOU SO MUCH
SuperCoder Answered Wed 10th of April, 2013 13:04:33 PM
I assume that the injections were done in Thoracic OR Cervical level. Here each code is to be reported only once, for one joint.
for level 1, code: 64490
for level 2: 64491
for level 3 onwards (within the same type of vertebra joint - cervical or thoracic): +64492 (only once, even if no. of joints injected are multiple, because the code desc. says "third and any additional levels")
Since +64492 is an add-on code, you cannot report it as stand-alone code. You must first use a primary CPT code.