CPT question

[georgiamd]

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Just so I’m not losing my mind. I am planning on doing a bilateral l4/5 trans esi.

to be clear two needles, one on each side

How would you bill this? The clinical specialist is arguing with me

 

[cowboydoc]

64483B (-50 modifier) (2.85 RVU)

for reference, 64483 is 1 level (1.9 RVU) and 2nd level is 64484 is additional level (1.0 RVU)

 

[Agast]

Single level, bilateral

 

[Ducttape]

64483 mod 50.

 

[georgiamd]

Thank y’all. I’m not going crazy. The insurance company is insisting it’s a 64483, 64484.