Coding mbb/rfa

[BobBarker]

Has this changed again?
I thought it was -50 for the 1st level and x2 for the 2nd level?

The biller disagrees and I can’t find a good resource to settle the matter.

Article - Billing and Coding: Facet Joint Interventions for Pain Management (A58405)

Use this page to view details for the Local Coverage Article for Billing and Coding: Facet Joint Interventions for Pain Management.

www.cms.gov

---

Members don't see this ad.

 

[No_Pain_No_Gain]

Has this changed again?
I thought it was -50 for the 1st level and x2 for the 2nd level?

The biller disagrees and I can’t find a good resource to settle the matter.

Article - Billing and Coding: Facet Joint Interventions for Pain Management (A58405)

Use this page to view details for the Local Coverage Article for Billing and Coding: Facet Joint Interventions for Pain Management.

www.cms.gov

For Medicare patients, your biller is correct. You must code 50 modifier for both the first level and 2nd level per latest LCD.
“Each unilateral or bilateral intervention at any level should be reported as one unit, with bilateral intervention signified by appending the modifier -50.”

Article - Billing and Coding: Facet Joint Interventions for Pain Management (A58350)

Use this page to view details for the Local Coverage Article for Billing and Coding: Facet Joint Interventions for Pain Management.

www.cms.gov

 

[clubdeac]

For Medicare patients, your biller is correct. You must code 50 modifier for both the first level and 2nd level per latest LCD.
“Each unilateral or bilateral intervention at any level should be reported as one unit, with bilateral intervention signified by appending the modifier -50.”

Article - Billing and Coding: Facet Joint Interventions for Pain Management (A58350)

Use this page to view details for the Local Coverage Article for Billing and Coding: Facet Joint Interventions for Pain Management.

www.cms.gov

So did this change again this year? Bc it changed last year to what Bob said. I’ll see if I can find the reference. It’d be super annoying if they changed it back in a year

 

[cowboydoc]

So did this change again this year? Bc it changed last year to what Bob said. I’ll see if I can find the reference. It’d be super annoying if they changed it back in a year

You’re not supposed to be able to follow which cup your payment is under.

Fortunately, CMS doesn’t have employees that are as good at sleight of hand as private insurance.

 

[clubdeac]

You’re not supposed to be able to follow which cup your payment is under.

Fortunately, CMS doesn’t have employees that are as good at sleight of hand as private insurance.

Ha so true