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Wiki Appropriate use of 64451

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sgoodwin86

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The provider is performing the following procedures:
  1. Fluoroscopically guided bilateral lumbar medial branch nerve blocks of the L3 and L4 levels.
  2. Fluoroscopically guided bilateral primary dorsal rami of L5 block at the level of the sacral articular process.
It is our understanding that the L5-S1 dorsal rami block is reported with 64451 -- this is correct? CPT assist seems to indicate that 64451 must include L5, S1, S2, S3, but the CPT book does not specify.
If the L3 and L4 medial branch blocks are reported with 64493, +64494, they are bundled into the 64451. How do you suggest coding for this scenario?
 
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sgoodwin86 said:
The provider is performing the following procedures:
  1. Fluoroscopically guided bilateral lumbar medial branch nerve blocks of the L3 and L4 levels.
  2. Fluoroscopically guided bilateral primary dorsal rami of L5 block at the level of the sacral articular process.
It is our understanding that the L5-S1 dorsal rami block is reported with 64451 -- this is correct? CPT assist seems to indicate that 64451 must include L5, S1, S2, S3, but the CPT book does not specify.
If the L3 and L4 medial branch blocks are reported with 64493, +64494, they are bundled into the 64451. How do you suggest coding for this scenario?
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Hi Sgoodwin86,
Have you gotten guidance yet?
 
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