dyoungberg
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Medicare patient had:
Therapeutic Fluroscopically guided Transforminal Epidural Steroid Injection at right L4/5
&
Therapeutic Fluroscopically guided lumbar epidural steroid injection at L3/4 & L5/S1
Medicare LCD for 64483 says: "It is not expected that a patient would undergo an epidural injection at more than two (2) levels (unilateral or bilateral) on any given date of service"
Can someone tell me if transforaminal and lumbar epidural injection considered one in the same & would be subject to the above LCD guidelines?
When a dr performs 2 different inj types in one day, how does everyone out there deal with this? Do you go back to the Dr to determine what should be billed or do you not bill anything?
Thanks
Debbie
CPC-A
Billing
NW FL Surgery Center
Therapeutic Fluroscopically guided Transforminal Epidural Steroid Injection at right L4/5
&
Therapeutic Fluroscopically guided lumbar epidural steroid injection at L3/4 & L5/S1
Medicare LCD for 64483 says: "It is not expected that a patient would undergo an epidural injection at more than two (2) levels (unilateral or bilateral) on any given date of service"
Can someone tell me if transforaminal and lumbar epidural injection considered one in the same & would be subject to the above LCD guidelines?
When a dr performs 2 different inj types in one day, how does everyone out there deal with this? Do you go back to the Dr to determine what should be billed or do you not bill anything?
Thanks
Debbie
CPC-A
Billing
NW FL Surgery Center