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L4-L5 Facet block injections w/ US guidance

Lisa Posted Thu 23rd of June, 2011 14:13:41 PM

I am having a hard time figuring out how to properly bill this procedure. I was told that we should be using 0216T (which includes the US AND injection?) or should I use 76942 with the 0216T? I need to know how to bill these both commercially and for Medicare. Any help is welcome! Thank you.

SuperCoder Answered Thu 23rd of June, 2011 20:47:53 PM

If your provider used ultrasound guidance when administering paravertebral facet joint injections, report the appropriate code(s) from 0213T-0218T (Injection[s], diagnostic or therapeutic agent, paravertebral facet [zygapophyseal] joint [or nerves innervating that joint] with ultrasound guidance …).

Lisa Posted Thu 23rd of June, 2011 21:57:59 PM

And just use whatever J code drug was administered during procedure? Medicare does not pay 0213T-0218T, so should I then code 76942, 20600-20610 for the injection, and then the J code?

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