How should we report a facet joint injection performed on the left side at one level and on the right side at a different level within the same spinal region? What about bilateral cases?
If the procedure is performed on the left side at one level and the right side at a different level within the same spinal region, report one unit for the primary procedure and one unit for the add-on code. For procedures performed bilaterally at one level and unilaterally at another, report one unit of the primary procedure for each level and include modifier 50 for the bilateral injection.
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