How do you bill bilateral facet joint injection?
How do you bill bilateral facet joint injection?
Bilateral paravertebral facet injection procedures 64490 through 64495 should be reported with modifier -50. One to two levels, either unilateral or bilateral, are allowed per session per spine region (i.e., two (2) unilateral or two (2) bilateral levels per session).
What do facet injections do?
Facet joint injections usually have two goals: to help diagnose the cause and location of pain and also to provide pain relief: Diagnostic goals: By placing numbing medicine into the facet joint, the amount of immediate pain relief experienced by the patient will help determine if the facet joint is a source of pain.
Are facet injections covered by insurance?
Therapeutic intraarticular facet injections are not covered unless there is justification in the medical documentation on why RFA cannot be performed.
Is CPT 64450 covered by Medicare?
Medicare no longer allows billing of code 64450 (peripheral nerve block).
What nerves are included in CPT 64450?
The Current Procedural Terminology (CPT®) code 64450 as maintained by American Medical Association, is a medical procedural code under the range – Introduction/Injection of Anesthetic Agent (Nerve Block), Diagnostic or Therapeutic Procedures on the Somatic Nerves.
Do they put you to sleep for a nerve block?
After a nerve block, the part of your body that will be operated on will be numb. Many times it is your choice to be as awake or asleep as you want. You never get to see the surgery itself because a large sterile drape is always placed between you and the surgeon.
Do occipital nerve blocks cause weight gain?
Potential side effects include but not limited to elevated glucose levels, altered menstrual cycle, fluid retention, bruising, insomnia, sweats, hot/cold flashes, flushing of the face, weight gain, or osteoporosis.
Does 64450 require a modifier?
CPT code 64450 (Injection, anesthetic agent; other peripheral nerve or branch) has 0 global days so you would report 64450 without a modifier since the global day is 0.