tci Part B Insider - 2004 Issue 10

Facet Joint Injections: Don't Bill 64470-64476 Without Imaging Codes

Bill for bilateral procedure to maximize your reimbursement Can you get in trouble for not billing add-on codes? It seems so.   A shocking 64 percent of all claims in Indiana for facet joint injection CPT Codes 64470-64476 were filed in error, according to a recent audit by Part B carrier Adminastar Federal. And 54 percent of claims were incorrect in Kentucky. Given the $40,060 overpayment Adminastar discovered, you can expect other carriers to look more closely at these codes.The problem: providers weren't billing for imaging guidance along with the facet joint injection. You should use either...

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