Pain procedures need precise level, side and guidance documentation, and most need authorization.
Examples of frequently billed services, with billing notes from our coders.
| CPT code | Service | Billing note |
|---|---|---|
| 62323 | Lumbar epidural injection with imaging guidance | Imaging is included in the code |
| 64483 | Transforaminal epidural injection, lumbar, one level | Add-on code for each additional level |
| 64493 | Facet joint injection, lumbar, one level, with imaging | Frequency and diagnostic block rules apply |
| 64635 | Radiofrequency ablation, lumbar facet, one level | Usually needs a documented prior diagnostic block |
| 20553 | Trigger point injections, three or more muscles | Count of muscles drives the code |
| 63650 | Spinal cord stimulator electrode placement (trial or permanent) | Authorization and device billing required |
| 99214 | Established patient visit, moderate | Add -25 if a procedure is done the same day |
Codes shown are common examples and descriptions are simplified in our own words. CPT® is a registered trademark of the American Medical Association. Always confirm against the current AMA CPT codebook, ICD-10-CM and each payer’s policy.
Modifiers tell the payer how and why a service was performed. Missing or wrong ones are a leading cause of denials.
Eligibility, benefits and prior authorization verified before the visit.
Code, modifier and documentation review before claims are submitted.
Denials corrected and appealed, aging claims worked until resolved.
Diagnostic testing, procedures and E/M claims coded correctly for each payer.
View billing detailsBiopsy, lesion removal and Mohs billing, with medical and cosmetic claims kept separate.
View billing detailsColonoscopy, endoscopy and screening claims coded for the right site and payer.
View billing detailsTalk to our team about your practice, hospital or lab. We will review your current billing and show you where revenue is slipping away.