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Outpatient Surgery E-Weekly

Contact Congress Over Drug Shortage Issues

A Kentucky congressman is urging surgical facilities to contact their members of Congress and request that they sign his letter demanding changes to...

N.J. Posts ASC Inspection Reports Online

State and federal inspection reports of New Jersey's ASCs are now available online, giving patients an opportunity to make more informed choices abo...

Are Opioids Necessary?

While it's not always practical, or even possible, to eliminate opioids from your post-op pain management regiment, reducing their use in favor of n...

Archive > July, 2008 Vol. IX, No. 7

Coding & Billing

Easing the Pain of Coding Facet Joint Injections

G. John Verhovshek, MA, CPC

The term "facet joint injection" may describe either a nerve block (CPT 64470 to 64476) or a more extensive nerve destruction (CPT 64622 to 64627). To confuse matters further, CPT defines both nerve blocks and nerve destructions as occurring per "level," although the definition of "level" varies between the two types of procedures. Let's set things straight.

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Categories: Anesthesia, Code/Bill/Reimburse
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One level equals two nerves; Per level, not per injection; Bilateral procedures; If he destroys and blocks; ASC, CMS; ASCs; CCS Bilateral; CMS; CPT; CPT Codes; Calendar Year; Code; Group; HCPCS; Hand; II Musculoskeletal Procedures Hand; Jones, RHIA, CCS Bilateral; Level II Musculoskeletal Procedures Hand; Lolita M. Jones, RHIA, CCS Bilateral; M. Jones, RHIA, CCS Bilateral; Medicare; Multiple; Musculoskeletal Procedures Hand; POS; Part; Procedures Hand; RHIA, CCS Bilateral; Report; State. Let's; Year; York State. Let's; accurate; actual; addition; additional; addressed; addresses; addressing; a... show all keywords
One level equals two nerves; Per level, not per injection; Bilateral procedures; If he destroys and blocks; ASC, CMS; ASCs; CCS Bilateral; CMS; CPT; CPT Codes; Calendar Year; Code; Group; HCPCS; Hand; II Musculoskeletal Procedures Hand; Jones, RHIA, CCS Bilateral; Level II Musculoskeletal Procedures Hand; Lolita M. Jones, RHIA, CCS Bilateral; M. Jones, RHIA, CCS Bilateral; Medicare; Multiple; Musculoskeletal Procedures Hand; POS; Part; Procedures Hand; RHIA, CCS Bilateral; Report; State. Let's; Year; York State. Let's; accurate; actual; addition; additional; addressed; addresses; addressing; adjacent; administer; agent; allowed; anatomical; and/or; anesthetic; apply; area; arthroscopic; assigns; assume; bicep; bilateral; bill; billing; block; blocking; blocks; branch; carrier; catheter; cervical; claiming; code; codes; complete; confuse; control; count; coverage; date; debridement; defines; definition; deny; describe; descriptors; destroys; destruction; destructions; determination; diagnosis; diagnostic; discussed; distinction; elbow; equal; established; exclusionary; extensive; facet; fasciotomy; field; flexibility; fluoroscopic; fluoroscopy; focus; follow; found; golfer's; greater; guidance; guidelines; highest; hospital; important; includes; including; incorrect; individual; initial; injection; injections; injects; innervation; instructions; instructs; integral; intra-articular; involve; join; joint; joints; large; lateral; left; left-side; level; levels; line; lines; link; local; localization; location; lumbar; made; make; matters; maximum; means; medial; medical; modifier; multiple; necessity; needle; nerve; nerve/level; nerves; neurolytic; note; number; occurring; occurs; open; outpatient; paraspinous; paravertebral; parenthetical; partial; payers; payment; payor; performance; performed; performs; physician; placement; precludes; prefer; previously; primary; procedure; procedures; provide; purposes; range; realize; receives; recognized; reimbursement; repair; report; reporting; research; result; sacral; sacroiliac; separate; separately; services; set; shortly; shoulder; side; single; soft; specificity; spinal; spine; supplying; surgeon; surgical; synovectomy; targets; tendon; tennis; tenodesis; term; therapeutic; things; thoracic; tightly; time; tip; tissue; transforaminal; treatment; types; typical; unilateral; unit; unlisted; varies; warns; wishes

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