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Billing for one mbb (1/2 a facet joint)?

Timeoutofmind

Full Member
7+ Year Member
Apr 6, 2013
818
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    I did MBBs on a pt for the levels above and below a fusion (L1 and DPR L5). Did not do the MBB immediately adjacent to the pedicle with hardware, so basically I really just denervated 1/2 of two different facet joints...

    How do you guys bills this?

    My biller is telling me:

    64493-50
    64494-50

    Does not seem correct?

    Thanks
     

    SSdoc33

    Full Member
    10+ Year Member
    Apr 23, 2007
    9,448
    3,487
    1. Attending Physician
      I did MBBs on a pt for the levels above and below a fusion (L1 and DPR L5). Did not do the MBB immediately adjacent to the pedicle with hardware, so basically I really just denervated 1/2 of two different facet joints...

      How do you guys bills this?

      My biller is telling me:

      64493-50
      64494-50

      Does not seem correct?

      Thanks

      good question. the merits of the injection aside, i think your biller is correct. you blocked 2 different joints, and should get credit for both
       
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      SSdoc33

      Full Member
      10+ Year Member
      Apr 23, 2007
      9,448
      3,487
      1. Attending Physician
        Thanks guys.

        Are you saying you would also have blocked the MBB immediately adjacent to the pedicles with hardware?

        im saying i wouldnt have done the block at all. i think you will be less than impressed with the results. does he/she have pain both above AND below the fusion? thats a span of 6-8 inches. not sure what you are really going to accomplish. MAYBE an SIJ injection would help. maybe.
         
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