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tci Outpatient Facility Coding Alert - 2015 Issue 11

Pain Management: Prevent Denials of Interlaminar Injections by Pinning the Levels

You can drop the bilateral modifier. If your interventional physician performs more than one interlaminar epidural injection in the same spinal region, you should not append modifier 50 (Bilateral procedure) or modifiers RT (Right side) and LT (Left side) to 62310-62311 (Injection, single [not via indwelling catheter], not including neurolytic substances, with or without contrast [for either localization or epidurography], of diagnostic or therapeutic substance[s] [including anesthetic, antispasmodic, opioid, steroid, other solution], epidural or subarachnoid ...). Here’s why: When your provider injects a substance into the epidural space via an interlaminar approach, the drug diffuses into the entire...

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