Maximize reimbursements for epidural steroid injections, nerve blocks, spinal cord stimulators, and radiofrequency ablation with billing specialists who understand interventional pain coding, fluoroscopy add-on rules, and the prior authorization requirements that govern every major procedure.
Pain management billing is high-value and high-scrutiny. Every major procedure — epidural injections, facet blocks, RFA, spinal cord stimulators — requires prior authorization, and most payers apply strict medical necessity criteria before approving payment. RCMAXIS pain management billing specialists are trained in interventional coding, fluoroscopy add-on rules, and the specific LCD requirements each payer uses to adjudicate pain claims — so your revenue isn't left on the table due to administrative errors.
Cervical, thoracic, and lumbar epidural steroid injections each have separate CPT codes. Bilateral procedures, imaging guidance, and interlaminar vs. transforaminal approaches all affect code selection. RCMAXIS correctly codes every epidural procedure — capturing fluoroscopy add-on codes and bilateral modifiers to maximize reimbursement.
Facet joint injections, medial branch blocks, and radiofrequency ablation require precise code selection based on spinal level and number of levels treated. We apply the correct codes for single vs. multiple levels, unilateral vs. bilateral procedures, and imaging guidance to ensure complete reimbursement.
SCS trial and permanent implant procedures involve multiple CPT codes for electrode placement, generator implant, and programming — plus facility and professional fees. RCMAXIS coordinates the complete billing cycle for SCS procedures, including post-implant programming sessions and device management visits.
Virtually every interventional pain procedure requires prior authorization. RCMAXIS manages the full PA lifecycle — submitting with supporting clinical documentation, tracking approval status, escalating stalled requests, and coordinating peer-to-peer reviews — so your procedure schedule runs without revenue-impacting delays.
Urine drug testing is a routine component of pain management compliance programs but is subject to strict payer rules on frequency, methodology, and diagnosis linkage. RCMAXIS codes presumptive and definitive drug testing correctly — applying the right G-codes and ensuring frequency limits are respected to prevent denials.
Pain management denials — medical necessity disputes, frequency limitations, missing documentation — require specialty-specific appeals citing payer LCDs. Our team analyzes every denial, corrects the underlying issue, and submits targeted appeals with clinical documentation to systematically recover denied pain management revenue.
Our certified pain management coders understand fluoroscopy add-on rules, bilateral modifiers, and level-specific injection codes that define interventional pain billing.
Interventional pain practices lose significant revenue to authorization failures, incorrect fluoroscopy billing, and missed add-on codes. RCMAXIS closes these gaps with specialist-level expertise.
Our coders understand the full range of pain management procedures — from simple trigger point injections to complex SCS implants. We apply correct level-specific codes, bilateral modifiers, and imaging guidance add-ons on every claim, preventing underbilling and compliance risk simultaneously.
We submit prior authorizations 7+ days before scheduled procedures, track every request, and alert your scheduling team the moment approvals come through. No procedure gets scheduled without a confirmed authorization — protecting both patient care and your revenue.
Detailed reports break down collections by procedure type, denial rate by payer, and AR aging — giving your practice administrator clear visibility into which procedures are driving denials and where the billing process needs improvement.
All patient data is handled under strict HIPAA compliance — encrypted transmission, signed BAAs, role-based access controls, and regular security audits protect your practice and your patients at all times.