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HOW TO BILL FACET INJECTIONS?

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?
64490
64491
64492
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.

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