1 minute read
PAIN PROCEDUREREJECTIONS
An LCA published by NGSsupports that requirement. A link and excerpt are provided for your review
Article - Billing and Coding: Epidural Steroid Injections for Pain Management (A58745) (cms gov)
When reporting CPT® codes 64479 through 64484 for a unilateral procedure, use one line with one unit of service For bilateral procedures regarding these same codes, use one line and append the modifier-50.
We reviewed CMSclaims for a market hospital and discovered that 64483 was getting paid on that one line with modifiers 50, LT, and RT. We suggest that you roll the charges onto the one line and continue to use the appropriate modifier