Webboth sides of one vertebral level, providers should report the primary injection code (64490 or 64493) with modifier -50. If a second level is injected bilaterally, providers should report the add-on code (64491 or 64494), also with modifier -50. Bilateral procedures billed with CPT codes 64491, 64492, 64494 or 64495 should only be billed WebCPT codes are the same for medial branch block injections regardless of their purpose; however, only diagnostic medial branch blocks are covered. ... Facet injections Not covered WAC 296-20-03002 Not covered Epidural Covered with conditions Requires authorization for chronic pain WAC 296-20-03001 Covered with

Article - Billing and Coding: Facet Joint Interventions for …

WebNov 2, 2024 · From AMA CPT 2024: “For bilateral paravertebral facet injection procedures, report 64490, 64493 with modifier 50. Report add-on codes 64491, 64492, 64494, 64495 twice, when performed bilaterally. Do not report modifier 50 in conjunction with 64491, 64492, 64494, 64495.”. There has also been an update to the modifier 50 guidelines in ... WebCoding. Anesthesia for Pain Management Injections – Commercial (Updated) According to the American Society of Anesthesiologists and the International Spine Intervention … nancy brightwell

CLINICAL PAYMENT AND CODING POLICY - BCBSTX

WebParavertebral Facet Injection Procedure Coding & Billing Policy Policy Number: CPCP036 Version 8.0 Enterprise Clinical Payment and Coding Policy Committee Approval Date: Nov. 2, 2024 ... Bilateral procedures billed with CPT codes 64491, 64492, 64494 or 64495 should only be billed with modifier - 50, with a number of services reported as one (1 ... WebReport CPT code 64999 when facet cyst aspiration/rupture is performed. CPT code 64999 is non covered when used to report non thermal facet joint denervation including … WebAfter two Facet Injections/Medial Branch Blocks at the same level and same side (this is considered therapeutic rather than ... In addition to the above, additional documentation requirements may apply for CPT codes 64490 and 64493; refer to the Clinical Policy titled . Outpatient Surgical Procedures – Site of Service in conjunction nancy bringhurst