CPT^® 64484, Under Introduction/Injection of Anesthetic Agent (Nerve Block), Diagnostic or Therapeutic Procedures on the Somatic Nerves

The Current Procedural Terminology (CPT^®) code 64484 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 lumbar or sacral region. The code applies to each additional level after the initial level.

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HELP!!! OPTUM - PAIN MANAGEMENT INJECTION DENIALS

[QUOTE="amyjph, post: 512621, member: 172045"] If you are talking about billing for the physician (ex. physiatrist) performance of the injection, and it is being done in a facility, you shouldn't be p... [ Read More ]

HELP!!! OPTUM - PAIN MANAGEMENT INJECTION DENIALS

If you are talking about billing for the physician (ex. physiatrist) performance of the injection, and it is being done in a facility, you shouldn't be putting any drug (J) codes on the claim at all. ... [ Read More ]

64484 BILATERAL - MAGNACARE NY

Hi all! I am a pain management biller here in NY. I am having such difficulty getting CPT add on code 64484 (50) paid, specifically Magnacare. I know Medicare released guidelines a few years ago stati... [ Read More ]

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 ]

Any advise on how to get TFESI & SI joint paid on the same day? My 59 modifier is not working any longer?

A transforaminal epidural steroid injection (TFESI) performed at the T12-L1 level should be reported with CPT code 64479. When reporting CPT codes 64479 through 64484 for a unilateral procedure, use o... [ Read More ]

TTL for Capitation and fee for service

I'm running a report for 99214 because that's the code we use a lot here. We are pain management, I think maybe I can run 64483, 64484, 64493, 64494, 62321, 64633, 64634, 64635?... [ Read More ]

64491 with a 50 or an RT LT

[QUOTE="Prada, post: 486240, member: 500225"] Would it be the same way for Provider billing and Ambulatory Surgical center(ASC) billing? I have seen some denials for ASC, where they flag down even th... [ Read More ]

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