tci Part B Insider - 2004 Issue 10
Facet Joint Injections: Bigger Problems Justify More Injections
Be prepared to appeal denials if you bill trigger points alongside nerve blocksIf you're providing more than a few facet joint injections per year, you may have to provide more supportive documentation, or the carriers will deny it, according to several of their local coverage decisions. For example, HGSAdministrators says that more than four injections per level, per year, "will be reviewed on an individual consideration basis." This is because "long term multiple nerve blocks over a period of several weeks or months is not an effective method of chronic pain management," HGSA says. Likewise, Regence...
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