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Explore This IssueMarch 2010
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Procedure Codes: 64493, 64494 Diagnosis Code: 721.3
The 64493 CPT code is an “Injection(s), diagnostic or therapeutic agent paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level.”
The 64494 CPT code is the “second level (list separately in addition to code for primary procedure).”
Previously, the code 77033 was used for “fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural, transforminal epidural, subarachnoid, paravertebral facet joint, paravertebral facet nerve, or sacroiliac joint), including neurolytic agent destruction.” This is no longer allowed separately and is now built into the facet joint injection codes.
This was a scheduled visit for the injections, and there was no significant, separately identifiable evaluation and management service done; therefore, no office visit could be billed.
If you have any questions, contact Melesia Tillman, CPC, CRHC at (404) 633-3777, ext. 820 or at email@example.com.