CPT^® 64480, Under Introduction/Injection of Anesthetic Agent (Nerve Block), Diagnostic or Therapeutic Procedures on the Somatic Nerves

The Current Procedural Terminology (CPT^®) code 64480 as maintained by American Medical Association, is a medical procedural code under the range - Introduction/Injection of Anesthetic Agent (Nerve Block), Diagnostic or Therapeutic Procedures on the Somatic Nerves.

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Summary

This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection in the cervical or thoracic region. The code applies to each additional level after the initial level.

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denial of CPT 62322

I think you're probably running into this LCD: [URL]https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=56681[/URL] "No more than 4 epidural injection sessions (CPT codes 62321... [ Read More ]

CPT 64483 What is the issue with modifier?

[QUOTE="ksommers, post: 509646, member: 568069"] yes, they are making it through the clearinghouse, and we are receiving eob denials for missing modifier. We have the RT modifier on 64483/64484. we ev... [ Read More ]

CPT 64483 What is the issue with modifier?

[QUOTE="amyjph, post: 509582, member: 172045"] Yes, if it's only one payer such as UHC MCR Advantage and not straight MCR I would check to see if there have been any notifications of errors on their s... [ Read More ]

CPT 64483 What is the issue with modifier?

we are also seeing denials on this as well. billed 64483-tr and 64484-rt,, and denied for missing modifier. I believe it has something to do with the verbiage on the new LCD regarding KX modifier. Our... [ Read More ]

UHC cervical epidurals and radiculopathy

[QUOTE="lburns23, post: 495400, member: 584313"] UHC recently changed their policies for my region (Arizona) so cervical (and cervicothoracic) radiculopathy (M54.12 and M54.13) are not covered diagnos... [ Read More ]

UHC cervical epidurals and radiculopathy

UHC recently changed their policies for my region (Arizona) so cervical (and cervicothoracic) radiculopathy ([URL='https://www.aapc.com/codes/icd-10-codes/M54.12']M54.12[/URL] and M54.13) are not cove... [ Read More ]

Transforaminal epidural steroid injection tfesi

Can anyone help me out. I am confused as to when you use the 64484 add on code for an additional level for TFESI. I have a physician that states in his dictation that he injects into the L5 neurofor... [ Read More ]

Transforaminal Steroid Injection Billing Levels

For CPT code 64483 and 64484 I am confused as to when to bill for a second level. I have documentation from a physician that states that he is injecting into the L5 neuroforaman and S1 neuroforaman s... [ Read More ]

Billing epidurals in office??

Can anyone give me pointers on how to Bill epidurals in office and what all can be billed? Looking at billing codes 64479 and/or 64480 as in office. Usually we do these down stairs in the surgery cent... [ Read More ]

51 modifier... so many mixed answers

PROCEDURE: #3 of 3, LEFT, TFESI@C4-5,C5-6,C6-7 under flouroscopy---10/1/2019--- in the SurgeryCenter. 64479 64480 64480 is a 51 modifier need on the second and third codes????... [ Read More ]

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