Eli's Rehab Report
Median Branch Nerve Injection
Question: Our physiatrist performs median branch nerve injections on single and multiple levels. What code is correct for these procedures? Washington, D.C., Subscriber Answer: It sounds as though you are referring to facet joint nerve injections and, therefore, the correct code for one level would be 64475 (Injection, anesthetic agent and/or steroid, paravertebral fact joint or facet joint nerve; lumbar or sacral, single level).
If the physiatrist injects multiple levels, report the add-on code +64476 (... each additional level [list separately in addition to code for primary procedure]) for each subsequent level. Therefore, a claim for three lumbar or sacral levels would appear as follows:
64475 (representing the first level)
64476 (for the second level)
64476 (for the third level).
Eli's Rehab Report
- CCI 8.3 Makes Billing Injections With Other Procedures More Complex
To keep up with the new edition of the Correct Coding Initiative (CCI), which takes [...] - Follow AAEM Guidelines for EDX Testing
By following guidelines from the American Association of Electrodiagnostic Medicine (AAEM) for electrodiagnostic (EDX) tests, [...] - You Be the Coder:
Surface EMGs
Test your coding knowledge. Determine how you would code this situation before looking at the [...] - ICD-9 Coding Corner:
Forget That Fifth Digit? Expect Denials
Practices that omit a required fifth digit on ICD-9 Codes , such as those [...] - Reader Questions:
Bilateral Facet Injections
Question: How should we code the claim when the physiatrist performs two levels of bilateral [...] - Reader Questions:
Median Branch Nerve Injection
Question: Our physiatrist performs median branch nerve injections on single and multiple levels. What code [...] - Reader Questions:
SI Joint Injection
Question: Our physiatrist performed an SI joint injection without arthrography or fluoroscopy. Should we use [...] - Reader Questions:
Therapeutic Exercises Rejected With TPIs
Question: One of our physiatrists performs trigger point injections for myofascial pain along with evaluations, [...] - Reader Questions:
Multiple Finger Injections
Question: How should I bill Medicare when we do more than one finger injection on [...] - Reader Questions:
Paravertebral Nerve Block
Question: What is the most accurate code for a paravertebral nerve block for relieving severe [...] - Reader Questions:
Prolonged Services for Day-After Visit
Question: One of our physiatrists evaluates a hospital patient on day one. The following day [...] - Statement of Ownership, Management, and Circulation
