Transforaminals: Add-on codes lose bilateral Medicare reimbursement

Why This Topic Matters

The update may affect reimbursement patterns, billing workflows, and carrier-specific reporting practices for practices that perform these services, making it important for revenue cycle and coding teams to monitor implementation guidance.

Article Sections

1. Medicare change to bilateral payment treatment for transforaminal add-on codes

   Covers a Medicare physician fee schedule revision affecting bilateral reimbursement treatment for certain transforaminal pain management add-on services and the uncertainty around carrier implementation.

2. Billing guidance and reactions from coding experts

   Summarizes commentary from pain management and coding professionals, along with discussion of carrier policies, compliance considerations, and the potential effect on practice billing.

3. Other peripheral nerve code gains bilateral payment status

   Describes a separate Medicare update involving a peripheral nerve code and the broader bilateral payment indicator change discussed in the article.