tci Outpatient Facility Coding Alert - 2013 Issue 9

You Be the Coder: Counting for Intra-articular Facet Nerve Blocks

Question: I’m coding for bilateral intra-articular facet nerve blocks to L1, L2, and L3 with ultrasound guidance. What is the correct way to report the procedure?Arkansas Subscriber Answer: First, remember that coding for facet joint injections is based on the facet joint level. If your provider injected the L1, L2, and L3 medial branches, they equate to two levels: L2/L3 and L3/L4. The correct billing is 0216T (Injection[s], diagnostic or therapeutic agent, paravertebral facet [zygapophyseal] joint [or nerves innervating that joint] with ultrasound guidance, lumbar or sacral; single level) with modifier 50 (Bilateral procedure) for the first...

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