Wiki Billing facet block injections to medicare

[FCORBIN2]

Please help, we are not getting paid for any of our blocks done on medicare part b patients, we have read the lcd and are coding the way we thought we were supposed to , but all of our claims are denying for lcd...... Help, does anyone know how to bill these 4 days of charges

 

[TCrem]

Need more info

What were the injections sites, how did you code them on the claim, and what dx did you attach to the procedure codes?

 

[mitchellde]

If these were perfomed for pain management then you need a 338.-- code first listed.

 

[boozaarn]

Facet Block

Will be reimbursed under 716.98 - review the diagnosis wording vs your ICD 9 code/understanding.

 

[Melissa Harris CPC]

Check your local Medicare LCD's for the supporting diagnosis codes. For cervical facets (64490-64493) we generally use 721.0 and lumbar facets (64493-64495) we generally use 721.3. Also you will want to append one of the pain diagnosis codes 338.xx

Melissa Harris, CPC
The Albany and Saratoga Centers for Pain Management