Pain Management Billing Services
Epidural injection errors, fluoroscopy bundling, and prior authorization failures cost pain management practices tens of thousands every month. We eliminate all three.
25+
Years in medical billing
30+
Specialties served
All 50
States supported
Dedicated
Specialty team
The Pain Management Billing Challenge
Every specialty has coding landmines. Here are the ones costing pain management practices the most.
Epidural Injection Coding
$40-80K/yr64483-64484
Epidural injection codes differ by approach (interlaminar vs transforaminal), level (cervical, thoracic, lumbar), and whether additional levels are billed. Using the wrong approach code or missing add-on levels is the largest revenue leak in pain management.
Facet Joint Injection Bundling
$30-60K/yr64490-64495
Facet joint injections follow a first-level, second-level, third-and-beyond structure that differs by spinal region. Miscoding the level hierarchy or failing to bill bilateral injections separately causes systematic underbilling.
Radiofrequency Ablation
$25-50K/yr64625 / 64633-64636
RF ablation codes changed significantly in recent years, with new codes for cervical/thoracic and lumbar/sacral regions. Practices using outdated codes or missing add-on levels are losing significant revenue on every ablation case.
Fluoroscopic Guidance Bundling
$15-30K guidance errors77003
Fluoroscopic guidance is separately billable for many pain procedures but is frequently bundled into the injection code by mistake. Knowing which procedures include guidance and which allow separate billing is critical to accurate claims.
SI Joint Injection Complexity
High denial without imaging27096
Sacroiliac joint injections require imaging guidance documentation for most payers. Without fluoroscopic or CT guidance documentation, these claims are denied on first pass regardless of medical necessity.
Prior Authorization Burden
38% of denials auth-relatedAll interventional
Pain management has the highest prior authorization burden of any specialty. Over 38% of denials are authorization-related — missing auth, expired auth, wrong procedure authorized, or insufficient diagnostic block documentation.
What We Handle
Complete pain management billing coverage — every code, every payer, every claim.
Injections
- Epidural injections (all approaches)
- Facet joint injections
- SI joint injections
- Trigger point injections
- Nerve blocks
- Joint injections
Interventional
- Radiofrequency ablation
- Spinal cord stimulator trials
- Intrathecal pump management
- Kyphoplasty & vertebroplasty
- Fluoroscopic guidance
- Discography
Management
- Office E&M visits
- Chronic pain management
- Medication management
- Physical therapy referrals
- Psychological evaluation coordination
- Urine drug screening
Administrative
- Prior authorization
- Diagnostic block documentation
- Eligibility verification
- Credentialing
- Appeals & reconsiderations
- Patient billing & statements
How It Works
Week 1
Free Analysis
We audit your pain management billing, identify the biggest revenue leaks, and show you the numbers.
Week 1-2
Your Team Gets to Work
Coders and billers trained in pain management connect to your system and start processing claims.
Day 30-90
Results Compound
Denial rates drop, clean claims climb, and revenue increases. You see it all in real-time dashboards.
“I highly recommend Everest A/R Management to anyone looking for a Revenue Cycle Management solution. Their team was able to dive into the mess that a previous billing company had left us in and they methodically worked through the problems and even captured what we had considered to be lost revenue. They work tirelessly through denials and appeals to make sure that we get paid for the work we’ve done. Our A/R is now accurate, and our cash flow has improved significantly. We no longer stress about our billing, and we can trust them to the point where we can focus on improving other areas of the business. Their communication is excellent, and they’ve integrated so well with our team that it feels like they are a department within our organization. We couldn’t have done it without them. Thank you to everyone on the Everest team!”
Chris Applewhite
Frequently Asked Questions
Do you have experience with interventional pain billing?
How do you manage prior authorization for pain procedures?
How do you handle fluoroscopic guidance billing?
Can you manage spinal cord stimulator billing?
Do you integrate with our EHR?
How quickly can we get started?
Find out how much revenue your pain management practice is missing.
Free analysis from a billing expert who knows your specialty. No obligation. No contracts. Just numbers.