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  • Pain Management Coding Specialists

Pain Management Medical Billing Services

Pain management billing is a compliance nightmare. One wrong modifier on an injection, one missed medical necessity for repeat procedures, or one LCD violation—and thousands in revenue vanish.

Neo MD fixes that with pain management-certified coders, strict LCD compliance workflows, and aggressive procedure capture built for interventional pain complexity.

95-97%

First-Pass Claim Acceptance

+21%

Average Revenue Increase

90

Days to Results

Get Free Pain Management Revenue Analysis
Talk to a Pain Management Billing Expert
  • Practice Revenue Health Audit

Is Your Pain Management Practice
Losing 6-Figures Annually? (Most Are.)

If any of these are happening, you’re losing $320K–$780K+ per year:

Visible Revenue Bleed

Immediate Impact

Priority: Critical
Audit Code: PNM-901

Injection Claims Denied

"Frequency exceeded" — didn't track LCD limits properly

Priority: High
Audit Code: PNM-902

Facet Joint Injections Rejected

Levels weren't documented correctly in the operative notes

Priority: Critical
Audit Code: PNM-903

Fluoroscopy Bundled Incorrectly

77003 should've been billed separately with injection codes

Priority: High
Audit Code: PNM-904

Nerve Blocks Downcoded

Missing documentation of the approach or technique used

Priority: Medium
Audit Code: PNM-905

Trigger Point Injections Rejected

"Excessive number of injection sites" without justification

Priority: Critical
Audit Code: PNM-906

E/M Visits Denied Same-Day

Billed with procedure, but with the modifier 25 issues

Invisible Losses

You spent years mastering interventional techniques. But right now, coding errors cost more than three pain management physicians' salaries.

Fluoroscopic Guidance Missing

77003, 77002 never billed

$8K-$18K/month

Bilateral Modifier Errors

50 vs RT/LT misapplication

18% underpayment

LCD Policy Violations

Frequency/med necessity gaps

Audit trigger

Injection Level Undercoding

Wrong CPT selection

Critical miss

Medical Necessity Failures

Repeat injection documentation

22% denial rate

Diagnostic vs Therapeutic

Code distinction missed

Systematic loss

Upcoding Risk

Inappropriate level selection

Compliance risk

Neurostimulator Coding Gaps

Trial/permanent errors

High-dollar loss
"You spent years mastering interventional techniques. But right now, coding errors cost more than three pain management physicians' salaries."
Cumulative Revenue Variance
$780,000+
Per Annum Potential
See How Much Revenue You're Leaving Behind
  • Industry Problem

Why General Medical Billing Companies Fail Pain Management Practices

 Critical care billing requires specialty expertise that general billers don’t have.

LCD frequency limitations

Don't track injection intervals by MAC jurisdiction

Bilateral modifier chaos

Mix up 50 vs RT/LT depending on CPT code

Diagnostic vs therapeutic confusion

Can't distinguish injection types correctly

Medical necessity gaps

Missing documentation for repeat procedures

59

Modifier 59 blindspot

Don't know when it applies to injections

Multi-level underbilling

Undercode complex injection procedures

Neurostimulator errors

Can't navigate trial vs permanent coding

Result: 15%–22% denial rates, 45-60 day payment cycles, and constant staff time wasted on resubmissions.

  • The NEO MD Difference

The Neo MD Pain Management Advantage

Pain Management-Certified Coding Teams

  • Expert in interventional pain CPT codes (62310-62319, 64400-64530, 77003)
  • LCD policy compliance across all MACs
  • Correct bilateral modifier application
  • Fluoroscopic guidance code capture
  • Medical necessity documentation mastery
  • Diagnostic vs therapeutic injection distinction

→ 96–98% clean claim rate vs 62–74% industry average

Complete Prior Authorization Management

We handle authorizations for:

  • Spinal injections (epidural, facet, SI joint)
  • Radiofrequency ablations
  • Neurostimulator trials and implants
  • Intrathecal pump trials and implants
  • Vertebroplasty/kyphoplasty
  • Regenerative medicine procedures

→ 2.8-day turnaround instead of 8–12 days

LCD Policy Compliance Management

Real-time tracking of:

  • Injection frequency limitations by MAC
  • Medical necessity criteria for each procedure
  • Documentation requirements (approach, technique, imaging)
  • Diagnosis code requirements (specificity, laterality)
  • Prior conservative treatment documentation

→ Zero LCD violation denials

Fluoroscopy & Imaging Revenue Capture

We ensure proper billing for:

  • Fluoroscopic guidance (77003, 77002)
  • CT guidance (77012)
  • Ultrasound guidance (76942)
  • Proper pairing with injection codes
  • Separate billing when appropriate

→ $8K–$18K monthly recovery from missed imaging codes

Procedure Revenue Maximization

We optimize billing for:

  • Multi-level spinal injections (correct code selection per level)
  • Bilateral injections (proper modifier usage)
  • Multiple nerve blocks same session
  • Add-on codes for additional levels (64484, 64636, etc.)
  • Neurolysis procedures (64633-64636)
  • Implantable device procedures

→ Appropriate reimbursement for complexity

Real-Time Revenue Visibility

Expert navigation of:

  • Daily injection procedure claim tracking
  • Weekly LCD compliance monitoring
  • Monthly financial performance by procedure type
  • Quarterly payer policy update reviews

→ Complete transparency

Request Your Free Revenue Assessment

Pain Management Services We Master

Injection Procedures

Epidural steroid injections (cervical, thoracic, lumbar), facet joint injections and medial branch blocks at all spinal levels, SI joint injections, trigger point injections (single and multiple sites), and peripheral nerve blocks for upper and lower extremities.

Ablation & Neurolysis

Radiofrequency ablation of medial branches and peripheral nerves, cryoablation procedures, and chemical neurolysis for long-term pain relief.

Implantable Devices

Spinal cord stimulator trials and permanent implants, peripheral nerve stimulator placement, intrathecal pump trials, and permanent implantation for medication delivery.

Vertebral Augmentation

Vertebroplasty and kyphoplasty for compression fractures, including single and multiple-level procedures with imaging guidance.

+

Additional Procedures

Joint injections (small, intermediate, and major joints), bursa injections, tendon sheath injections, and regenerative medicine procedures, including PRP and stem cell therapies.

E/M & Consultation Services

New patient consultations, established patient follow-ups, medication management visits, and complex pain management evaluations.

Real Results: 5-Physician Pain Management Group (Arizona)

“We had no idea how much money we were losing on fluoroscopy codes alone. Neo MD’s LCD compliance saved us from a potential audit nightmare. Our revenue is up 31% with the same patient volume.”

— Dr. James R., Interventional Pain Management

Get Your Practice's Revenue Analysis
Metric Before NEO MD After NEO MD (90 Days)
Denial Rate on Injection Procedures 29% 3.6%
Annual Revenue Loss $540,000 Eliminated
Fluoroscopy Billing Never Billed +$14,000 / month
Bilateral Modifier Accuracy Missing on 40% of Claims 98%+ Accurate
LCD Compliance Violations Triggering Payer Audits 99.8% Compliant
Prior Authorization Turnaround 12+ Days Average 2.8 Days
Total Revenue Impact Missed Revenue $62,000 / month
($744K annually)

Free Download

Pain Management Denial Prevention Checklist

The exact checklist our coders use for 96%+ clean claims.

LCD frequency limits by MAC (epidurals, facets, SI joints)

Fluoroscopy billing guide (77003, 77002, 76942)

Bilateral modifier decision tree (50 vs RT/LT)

Multi-level injection coding matrix

Medical necessity documentation templates

Diagnostic vs therapeutic injection criteria

Modifier 25 requirements for same-day E/M

Neurostimulator trial/permanent coding guide

Used by 135+ pain management practices. Worth $2,600. Yours free.

Download Pain Management Checklist

Performance: Neo MD vs Industry Standard

Performance Metric Industry Avg Neo MD
Clean Claim Rate 62–74% 96–98%
Denial Rate 26–38% 3–6%
LCD Compliance 68–79% 99%+
Fluoroscopy Capture 52–67% 97%+
Bilateral Modifier Accuracy 64–76% 98%+
Prior Authorization Turnaround 8–12 days 2–4 days

Our Process: Revenue Acceleration in 90 Days

Step 1 (Week 1)
Free 90-Day Revenue Diagnostic

We begin with a comprehensive analysis of your last 90 days of billing data, examining every injection procedure claim, fluoroscopy code capture rate, LCD policy compliance, and bilateral modifier accuracy. Our team reviews denial patterns by procedure type and payer, identifies missing imaging codes, and assesses medical necessity documentation gaps. You receive a detailed report showing exactly where revenue is leaking and the specific dollar amount being lost to each type of coding error or compliance issue.

Step 2 (Weeks 2-3)
Seamless Transition

Our implementation team coordinates a smooth transition with zero disruption to your practice operations or cash flow. We integrate with your EMR system (whether you're using Epic, Athenahealth, eClinicalWorks, or any other platform), verify all payer enrollments and credentialing, set up our LCD policy compliance database customized to your MAC region, and provide comprehensive training to your physicians and staff on documentation requirements for fluoroscopy, medical necessity, and bilateral procedures. Most practices have their first clean claims submitted within 10-12 business days.

Step 3 (Days 30-90)
Revenue Acceleration

This is where you see immediate financial impact. Our certified pain management coders begin capturing fluoroscopy codes that were previously missed, apply correct bilateral modifiers to maximize reimbursement, ensure LCD policy compliance on every injection procedure, and systematically rework and resubmit old denied claims. Prior authorization workflows eliminate delays that were holding up your procedures. Within the first 30 days, most practices see noticeable cash flow improvement, and by day 90, our clients average a 26-32% revenue increase without seeing additional patients.

Step 4 (Ongoing)
Continuous Optimization

 Revenue optimization doesn't stop at 90 days. We provide bi-weekly LCD policy updates as MAC rules change, conduct monthly procedure-specific coding reviews with your team, perform quarterly compliance audits to ensure continued accuracy, and deliver annual CPT code update training. As your practice adds new procedures or pain management techniques, we proactively research coverage policies and implement billing protocols before you perform the first procedure. This ensures your revenue continues growing year over year as coding precision improves and payer relationships strengthen.

Start Your Revenue Assessment

Critical Compliance Issues We Handle

Pain management faces intense payer scrutiny. We protect you:

LCD frequency limitations (injection intervals by MAC)

Medical necessity documentation (conservative treatment failure, imaging correlation)

Fluoroscopy/imaging code compliance (separate billing requirements)

Bilateral modifier accuracy (50 vs RT/LT by CPT code)

Multi-level injection coding (correct CPT selection, add-on codes)

Diagnostic vs therapeutic distinction (affects frequency and coverage)

Modifier 59 appropriateness (distinct procedural services)

Neurostimulator trial vs permanent (proper code sequencing)

Upcoding prevention (appropriate level selection)

We keep you compliant, paid, and audit-ready.

Frequently Asked Questions

 10–14 days, zero claim disruption.

Yes. We maintain real-time LCD tracking and update protocols within 24 hours of policy changes.

 We handle all prior authorizations with a 2-4 day average turnaround.

 6–9% of collections, but clients average a 26–32% revenue increase.

 Yes. We handle both office-based and ASC billing models, including facility fee vs professional fee splits.

 We provide coverage analysis and ABN management for non-covered regenerative procedures.

  • Financial Attrition Warning

Stop Losing $30K–$70K Every Month

Every month you delay is another month of compounded clinical leakage.

Injection claims denied for LCD violations

Fluoroscopy codes were missed entirely

Bilateral modifiers applied incorrectly

Multi-level injections undercoded

Prior authorization delays blocking procedures

Medical necessity denials

Partner with Neo MD

Operational Performance Protocol

90 Day scaleability
clean claims
96–98%
Denials below 4%
60 Days
Revenue up 26–32%
90 Days
LCD compliance
99%+
Fluoroscopy captured
97%+
Bilateral accuracy
98%+

Prior auth

2-4 days

Two Ways to Get Started

Option 1

Free Revenue Analysis

No obligation. No sales pitch. Just data.

We’ll show you:

  • LCD compliance gaps by procedure type
  • Fluoroscopy code capture rate
  • Bilateral modifier accuracy
  • Multi-level injection coding opportunities
  • Medical necessity documentation gaps
  • Missed revenue by service category
Request Free Revenue Analysis

Option 2

Talk to a Specialist

15-minute consultation. Zero pressure.

We’ll discuss:

  • Your current billing challenges
  • Injection procedure denial patterns
  • LCD policy compliance issues
  • Whether Neo MD is the right fit
Schedule 15-Minute Call

Or call us directly:

  • (929) 502-3636

Monday-Friday, 8 am-5 pm EST

The Cost of Waiting

If you’re a pain management practice collecting $3.8M annually and losing 28% to billing inefficiencies:

$1,064,000

Per year in lost revenue

$5.32 million

Over 5 years

That’s expanding your practice locations, adding another physician, investing in advanced imaging equipment, or building an ASC.

Every month you wait costs you $88,700 you'll never recover.

The question isn’t “Should I switch?”
The question is: “How much more am I willing to lose?”

Get Your Free Analysis

Neo MD Inc. | Pain Management Medical Billing Specialists

Trusted by 130+ pain management practices across all 50 states