Apr 12, 2022 · L4-5, L5-S1 = 64493, 64494. Per CMS guidelines: Facet joint - A diarthrodial joint in the spinal column (also called the zygapophysial joint or z-joint), producing the articulation of …

Sep 13, 2016 · I have a physician who documented radio-frequency ablation for "levels L4, L5 and S1." I understood this to be 3 levels and the doctor says this is only 2 levels. I understand her …

Mar 11, 2012 · I need some help coding Bilateral Radiofrequency Ablation Injections The op note I am coding is as follows: Lumbar selective Facet Medial Branch Radiofrequency under flouro …

Aug 1, 2016 · Question: During the same operative session, the orthopedic surgeon performed the following procedures: L4-L5 discectomy, L5-S1 discectomy, L4-L5 transforaminal interbody …

Oct 30, 2017 · Hello, I am wondering if anyone can give clarification on whether MBB performed on L3, L4, L5, and S1 (on the sacral ala) is coded as 64493 64494 and 64495 or only 64493 …

Feb 12, 2013 · L4 medial branch and L5 medial branch innervating the L5-S1 facet joint as seen below in AMA CPT Assistant, The procedure note you provided would support 64493 with …

Sep 1, 2013 · Spine procedure coding can make even the most confident coder squirm. But spine procedure coding doesn’t have to be difficult.

Jun 1, 2016 · Although Medicare guidelines disallow modifier 59 when decompression and fusion are performed at the same interspace, it may be used when the procedures are performed at …

Dec 1, 2008 · Posterior Approaches A posterior approach gains access to the spine through an incision in the back (or the back of the neck) with the patient prone or face down. In the lumbar …

Nov 14, 2020 · L5-S1 is the same level - the foramen and the epidural space are between any two vertebral segments, so it requires two vertebrae to identify each single level - the L5 cannot be …