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.
- Corembs5@gmail.com
- corembs.com
- 30 N Gould St, Ste N, Sheridan, WY 82801