Does CPT code 64483 need a modifier?

If you perform a bilateral transforaminal epidural injection (64483) you can report CPT 64483 with Modifier 50 (bilateral procedure). Some payors require CPT 64483-single level (1 side) and 64483-50 (the other side) whereas some payors may require RT/LT.

What is the difference between CPT code 64483 and 64484?

Whether a transforaminal epidural block is performed unilaterally or bilaterally at one vertebral level, use CPT code 64479 or 64483 for the first level injected. If a second level is injected unilaterally or bilaterally, use CPT code 64480 or 64484. Bill an imaging guidance code only once per session.

How do you bill for medial branch blocks?

According to the AMA, the code series for medial branch blocks and the facet joint injections are the same (i.e., CPT series 64490-64495), with reporting based on the number of facet joints injected, not the number of nerves injected.

When to use the-51 modifier on CPT codes?

Modifiers-51 Multiple Procedures ASCs should not use the –51 Modifier when billing their CPT codes. This modifier is for use on physician claims only, unless directed by the payor to use it on ASC facility claims.-52 Reduced Services Use this modifier when a procedure is partially reduced or eliminated at the physician’s discretion .

What does PT code 64479-64484 stand for?

PT codes 64479-64484 have a bilateral surgery indicator of one. Thus, they are considered “unilateral” procedures, and the 150% payment adjustment for bilateral procedures applies. When injecting a nerve root bilaterally, append modifier -50.

Is the Medicare Code 64483 the same as ESI 62311?

Code 64483 is Unbundled from code 62311 (Regular ESI procedure) in the Mutually Exclusive Table of the CCI Unbundling Material. Therefore, for Medicare and other payors who observe the CCI edits, these codes are not billable together when they are performed at the SAME spinal area.

What is the CMS billing modifier for bilateral injections?

The Centers for Medicare and Medicaid Services (CMS) requires physicians to indicate a bilateral injection by using billing modifier 50. Unilateral injections must be identified by an appropriate RT or LT. 1. Pain associated with b. severe degenerative disc disease or central spinal stenosis.

Does CPT code 64483 need a modifier? If you perform a bilateral transforaminal epidural injection (64483) you can report CPT 64483 with Modifier 50 (bilateral procedure). Some payors require CPT 64483-single level (1 side) and 64483-50 (the other side) whereas some payors may require RT/LT. What is the difference between CPT code 64483 and 64484?…