Wiki Facet with an Epidural Injection

Create Wiki
B

bella2

Guru
Messages
172
Location
Spring Hill, FL
Best answers
0
Hi,

I was just wondering if it is appropriate to bill out a 3 level facet injection with
a lumbar epidural injection at the same levels, I'm not seeing any bundles but it dosen't seem quite right ???

Any advice would be greatly appreciated,

Bella
 
[I just posted this to another question, but it applies here too]

Below is a quote from a Medicare LCD (check the LCDs for your jurisdiction).

"An epidural (62311), transforaminal epidural (64483, 64484), sacroiliac joint injection (27096), or lumbar sympathetic block (64520) should not be performed on the same day as facet joint nerve block injections. Furthermore, only one type of a block or injection should be performed in a given session so that the effectiveness of its treatment can be assessed prior to attempting another type of spinal block or injection."

Other insurance carriers may have different regulations. So file your claims, wait for the outcomes, then educate your doctors.

Richard Mann, your pain management coder
rkmcoder@yahoo.com
 
http://www.cms.hhs.gov/mcd/search.asp?error=

Click on the link above then enter the following information:

(There may be another page that comes up that wants you to 'ACCEPT')

Type of Document: Local Coverage Determination
Geographic Area: New Jersey
Keyword(s) (title only): (LEAVE THIS BOX EMPTY)
CPT/HCPCS code: 64490
Then click "Search Now"

(You may have to wait a few moments for the search process)

Click on L27512 for MAC - Part B

Do a search (CTRL-F) within the LCD for '62311' and you will pop down to the paragraph that I reproduced.

Richard Mann, your pain management coder
rkmcoder@yahoo.com
 
Can an anesthesiologist bill for injection for pain management using start and stop times with code 62311 or should this be billed flat rate as one unit no time involved. This is not post op management, just a single injection for pain management, eg. back problems etc.
 
You must log in or register to reply here.
Top