How should multiple level bilateral paravertebral facet joint injections be billed?
Providers may have received denials for bilateral paravertebral facet injections when more than one add-on level was billed without a modifier 59 or an electronic notepad indicating the add-on levels were distinctly different. For example, if a provider treats bilaterally three thoracic levels (such as T7-8, 8-9, and 9-10), the provider should bill 64470-50 for the first level then 64472-50 for each of the two additional levels except the last level should include a modifier 59 or a notepad explaining the three different levels treated.
