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cCORE MBSMedical Billing Solution

Pain Management billing

Maximizing reimbursements for complex interventional and chronic pain care.

Pain management operates under intense regulatory scrutiny — high-value interventional procedures, precise modifiers, frequently updated LCDs and complex medical necessity. We ensure every procedure is precisely coded, medical necessity is meticulously documented, and high-dollar claims are collected without delay.

Services we provide for pain management practices

Specialty-trained coders and billers who know your workflows, payers and compliance requirements inside out.

  • Interventional pain management procedure billing
  • Epidural steroid injection (ESI) billing
  • Facet joint & medial branch block billing
  • Radiofrequency ablation (RFA) billing
  • Spinal cord stimulator trial & implant billing
  • Trigger point & joint injection billing
  • Urine drug testing & toxicology screening billing
  • Prior authorization for high-value interventional care

Codes we manage every day

A representative sample of the CPT, ICD-10 and modifier expertise our team applies to pain management claims.

Common CPT codes

  • 62321, 62323Interlaminar epidural injection
  • 64493–64495Paravertebral facet joint injection
  • 64635, 64636Facet joint neurolytic destruction
  • 20552, 20553Trigger point injections
  • 27096Sacroiliac joint injection
  • 63650 / 63685Neurostimulator trial / generator
  • G0480–G0483Definitive drug testing

Modifiers we manage

  • 25Separate E/M on procedure day
  • 50Bilateral procedure
  • 59 / XSDistinct procedural service
  • KXLCD requirements met
  • LT / RTLeft / right side

Common billing challenges we solve

  • Frequency-limit denials for facet blocks & epidurals
  • Modifier 25 rejections on injection days
  • Missing image-guidance documentation linkage
  • Bilateral billing rule confusion (Modifier 50 vs. LT/RT)
  • Conservative-therapy tracking gaps before authorization

Payers we work with

  • Medicare & Medicare Advantage
  • Commercial carriers (BCBS, UHC, Aetna, Cigna, Humana)
  • Workers' compensation (state and federal)
  • Auto insurance & personal injury protection
  • Attorney-managed cases (letters of protection)

Why pain management practices choose Core MBS

LCD and payer-policy experts for interventional spinal care
Eliminate coding errors on multi-level and bilateral procedures
Aggressive workers' comp & PI documentation and follow-up
Frictionless integration inside your current EHR

Let's get your revenue cycle healthy.

Send us a note for a free, no-obligation billing review — we'll show you exactly where revenue is leaking and how we'd fix it.