anthem criteria for cpt code 64483 represents a topic that has garnered significant attention and interest. SURG.00140 Peripheral Nerve Blocks for Treatment of Neuropathic Pain. Concerning the use of peripheral nerve blocks as a single modality intervention, the guideline states: Studies with observational findings for peripheral nerve blocks indicate effective pain relief for assessment periods ranging from 1 to 14 days (Category 2B evidence). Billing and Coding: Epidural Steroid Injections for Pain Management. Furthermore, no more than 4 epidural injection sessions (CPT codes 62321, 62323, 64479, 64480, 64483, or 64484) may be reported per anatomic region in a rolling 12-month period regardless of the number of levels involved. REIMBURSEMENT POLICY MEDICAL DEPARTMENT.
These reimbursement policies serve as a guide to assist you in accurate claims submissions and to outline the basis for reimbursement if the service is covered by an Anthem Blue Cross and Blue Shield (Anthem) member’s benefit plan. CPT Code64483: Billing Guide for Lumbar epidural Injections. Billing CPT code 64483 for lumbar epidural injections can be tricky without the right knowledge. This perspective suggests that, this guide covers documentation, modifiers, payer rules, and common mistakes to help you avoid denials and maximize reimbursement. (2023) CPT Code 64483 | Description, Guidelines, Modifiers ....
CPT code 64483 will be reported for service when the physician injects an anesthetic agent (s), steroid, and/or injection (s) transforaminal epidural with imaging guidance (CT or Fluoroscopy) to the Lumbar or sacral region on a single level. Clinical Criteria in Pharmacy | Anthem. Clinical criteria for orals or self-injectables can be found in our searchable drug lists. After you have identified your list, enter the name of the drug you're looking for, select the drug and dose you want and click on Clinical Criteria under the Notes & Restrictions section. Provider Medical Policies | Anthem.com. This perspective suggests that, the clinical UM guidelines published on this web site represent the clinical UM guidelines currently available to all health plans throughout our enterprise.
These guidelines address the medical necessity of existing, generally accepted services, technologies and drugs. CPT Code 64483 - Description and Fee Schedule 2025 | PayerPrice. Review description and fee schedules for CPT Code 64483, intended for Surgery, and compare rates across different payers. CPT Code 64483: Expert Pain Management Guide - Medical Bill Gurus.
Another key aspect involves, explore the essentials of cpt code 64483 for lumbar epidural injections, including updates, reimbursements, and cost details. CPT® Code 64483 - Introduction/Injection of Anesthetic Agent ... The Current Procedural Terminology (CPT ®) code 64483 as maintained by American Medical Association, is a medical procedural code under the range - Introduction/Injection of Anesthetic Agent (Nerve Block), Diagnostic or Therapeutic Procedures on the Somatic Nerves.
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