LHabenicht
New
I want to make sure I understand how to bill MBBs. Please help me determine the levels per this op:
Lying in a prone position, the patient was prepped and draped in the usual sterile fashion using chloroprep and a fenestrated drape. Each site was identified under fluoroscopic guidance. Local anesthetic was given by raising a wheal and going down to the hub of a 27-gauge 1.25-inch needle. A 25-gauge 3.5-inch Quincke needle was advanced to the anatomic location of each medial branch at the junction of the superior articular process and transverse process utilizing intermittent fluoroscopy. Aspiration was negative. Medication (0.5 ml Bupivicaine 0.5%) was then injected slowly.
The procedure was completed without complications and was tolerated well. The patient was monitored after the procedure. The patient (or responsible party) was given post-procedure and discharge instructions to follow at home. The patient was discharged in stable condition. A follow-up appointment was confirmed.
Under fluoroscopic guidance, a 22G X 3.5 inch spinal needle was placed at the junction of SAP and transverse process of L4. Aspiration was negative for blood. A total of 0.5 cc of 0.5 % Bupivacaine was injected.
Under fluoroscopic guidance, a 22G X 3.5 inch spinal needle was placed at the junction of SAP and transverse process of L5. Aspiration was negative for blood. A total of 0.5 cc of 0.5 % Bupivacaine was injected.
Under fluoroscopic guidance, a 22G X 3.5 inch spinal needle was placed at the junction of SAP and transverse process of S1. Aspiration was negative for blood. A total of 0.5 cc of 0.5 % Bupivacaine was injected.
I am thinking the correct CPT codes to bill are 64493-50 and 64494-50. Should I be billing an additional level 64495-50?
Lying in a prone position, the patient was prepped and draped in the usual sterile fashion using chloroprep and a fenestrated drape. Each site was identified under fluoroscopic guidance. Local anesthetic was given by raising a wheal and going down to the hub of a 27-gauge 1.25-inch needle. A 25-gauge 3.5-inch Quincke needle was advanced to the anatomic location of each medial branch at the junction of the superior articular process and transverse process utilizing intermittent fluoroscopy. Aspiration was negative. Medication (0.5 ml Bupivicaine 0.5%) was then injected slowly.
The procedure was completed without complications and was tolerated well. The patient was monitored after the procedure. The patient (or responsible party) was given post-procedure and discharge instructions to follow at home. The patient was discharged in stable condition. A follow-up appointment was confirmed.
Under fluoroscopic guidance, a 22G X 3.5 inch spinal needle was placed at the junction of SAP and transverse process of L4. Aspiration was negative for blood. A total of 0.5 cc of 0.5 % Bupivacaine was injected.
Under fluoroscopic guidance, a 22G X 3.5 inch spinal needle was placed at the junction of SAP and transverse process of L5. Aspiration was negative for blood. A total of 0.5 cc of 0.5 % Bupivacaine was injected.
Under fluoroscopic guidance, a 22G X 3.5 inch spinal needle was placed at the junction of SAP and transverse process of S1. Aspiration was negative for blood. A total of 0.5 cc of 0.5 % Bupivacaine was injected.
I am thinking the correct CPT codes to bill are 64493-50 and 64494-50. Should I be billing an additional level 64495-50?