tci Part B Insider - 2010 Issue 36

Pain Management: Avoid These Top Interlaminar Injection Pitfalls

Distinguish region from level to prevent denials. The next time you're faced with an interlaminar epidural injections claim, be sure to mark the differences between interlaminar epidurals and other common spinal injections. Skip the Bilateral Modifier If your physician performs more than one interlaminar epidural injection in the same spinal region, you should not append modifier 50 (Bilateral procedure) or append 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...

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