← Back to home
Specialty billing

Pain Management Billing Services

Complex procedures deserve billing that keeps up.

Pain management billing is procedure-heavy, authorization-heavy, and denial-prone. Injection codes bundle in ways that surprise even experienced billers, and payers demand prior auth for nearly everything. We keep the revenue flowing while you focus on patients.

What we handle for you

01Prior authorization management

Epidurals, facet injections, RFA, and stimulator trials all need prior auth from most payers. We manage the entire authorization workflow so procedures never get done without coverage locked in.

02Injection code bundling (NCCI edits)

Injection codes bundle with imaging guidance and E/M visits in complex ways. We know the edits and bill compliant combinations that maximize legitimate reimbursement.

03E/M with procedures (modifier 25)

Billing an office visit with a procedure on the same day requires modifier 25 and documentation of a separately identifiable service. We review every same-day combination.

04Fluoroscopy and ultrasound guidance

Guidance codes have specific rules about when they can be billed separately. We keep this clean so you are not leaving guidance revenue behind or triggering audits.

05Workers comp and PI volume

Pain practices see heavy workers comp and personal injury volume. We handle OMFS billing, lien management, and attorney coordination.

From 62323 epidurals to 64483-64484 transforaminals, facet codes, RFA, and every E/M level, we handle the full pain management code set.

See what your billing is leaving on the table.

Free billing review. We look at your last 90 days of claims, find the leaks, and show you exactly what fixing them is worth. No commitment.

Request your free review →

Or call (323) 327-2764 · contact@healthflowbilling.com