The Rheumatologist
COVID-19 News
  • Connect with us:
  • Facebook
  • Twitter
  • LinkedIn
  • YouTube
  • Feed
  • Home
  • Conditions
    • Rheumatoid Arthritis
    • SLE (Lupus)
    • Crystal Arthritis
      • Gout Resource Center
    • Spondyloarthritis
    • Osteoarthritis
    • Soft Tissue Pain
    • Scleroderma
    • Vasculitis
    • Systemic Inflammatory Syndromes
    • Guidelines
  • Resource Centers
    • Axial Spondyloarthritis Resource Center
    • Gout Resource Center
    • Psoriatic Arthritis Resource Center
    • Rheumatoid Arthritis Resource Center
    • Systemic Lupus Erythematosus Resource Center
  • Drug Updates
    • Biologics & Biosimilars
    • DMARDs & Immunosuppressives
    • Topical Drugs
    • Analgesics
    • Safety
    • Pharma Co. News
  • Professional Topics
    • Ethics
    • Legal
    • Legislation & Advocacy
    • Career Development
      • Certification
      • Education & Training
    • Awards
    • Profiles
    • President’s Perspective
    • Rheuminations
    • Interprofessional Perspective
  • Practice Management
    • Billing/Coding
    • Quality Assurance/Improvement
    • Workforce
    • Facility
    • Patient Perspective
    • Electronic Health Records
    • Apps
    • Information Technology
    • From the College
    • Multimedia
      • Audio
      • Video
  • Resources
    • Issue Archives
    • ACR Convergence
      • Systemic Lupus Erythematosus Resource Center
      • Rheumatoid Arthritis Resource Center
      • Gout Resource Center
      • Abstracts
      • Meeting Reports
      • ACR Convergence Home
    • American College of Rheumatology
    • ACR ExamRheum
    • Research Reviews
    • ACR Journals
      • Arthritis & Rheumatology
      • Arthritis Care & Research
      • ACR Open Rheumatology
    • Rheumatology Image Library
    • Treatment Guidelines
    • Rheumatology Research Foundation
    • Events
  • About Us
    • Mission/Vision
    • Meet the Authors
    • Meet the Editors
    • Contribute to The Rheumatologist
    • Subscription
    • Contact
  • Advertise
  • Search
You are here: Home / Articles / Coding Corner Answer: October

Coding Corner Answer: October

October 1, 2014 • By Staff

  • Tweet
  • Email
Print-Friendly Version / Save PDF

Take the challenge

You Might Also Like
  • Coding Corner Answer
  • Coding Corner Answer
  • Coding Corner Question: October
Explore This Issue
October 2014
Also By This Author
  • Become a Marketing-Driven Practice

Answer

Procedure Codes: 64493, 64494, J2920 x 2
ICD-9 Diagnosis Code: 721.3
ICD-10: M47.816

ad goes here:advert-1
ADVERTISEMENT
SCROLL TO CONTINUE

CPT code 64493 is defined as 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.” CPT code 64494 is the “second level (list separately in addition to code for primary procedure).”

According to the 2014 AMA CPT, “Image guidance [fluoroscopy or CT] and any injection of contrast are inclusive components of 64490–64495. Imaging guidance and localization are required for the performance of paravertebral facet joint injections described by codes 64490–64495. If imaging is not used, CPT codes 20552–20553 will have to be billed. If ultrasound guidance is used, report 0213T–0218T.”

ad goes here:advert-2
ADVERTISEMENT
SCROLL TO CONTINUE

Keep in mind that this was a scheduled visit for the injections and there was no significant, separately identifiable evaluation and management service done; therefore, no E/M visit could be billed.

If you have any questions or comments on this matter, contact Melesia Tillman, CPC, CPC-I, CRHC, CHA, at [email protected] or 404-633-3777 x820.

Filed Under: Billing/Coding, Conditions, From the College, Osteoarthritis, Practice Management Tagged With: Billing, Coding, ICD-10, imaging, Injection, joint, Osteoarthritis, rheumatologistIssue: October 2014

You Might Also Like:
  • Coding Corner Answer
  • Coding Corner Answer
  • Coding Corner Question: October
  • Coding Corner Answer: May 2008

Simple Tasks

Learn more about the ACR’s public awareness campaign and how you can get involved. Help increase visibility of rheumatic diseases and decrease the number of people left untreated.

Visit the Simple Tasks site »

ACR Convergence

Don’t miss rheumatology’s premier scientific meeting for anyone involved in research or the delivery of rheumatologic care or services.

Visit the ACR Convergence site »

American College of Rheumatology

Visit the official website for the American College of Rheumatology.

Visit the ACR »

The Rheumatologist newsmagazine reports on issues and trends in the management and treatment of rheumatic diseases. The Rheumatologist reaches 11,500 rheumatologists, internists, orthopedic surgeons, nurse practitioners, physician assistants, nurses, and other healthcare professionals who practice, research, or teach in the field of rheumatology.

About Us / Contact Us / Advertise / Privacy Policy / Terms of Use

  • Connect with us:
  • Facebook
  • Twitter
  • LinkedIn
  • YouTube
  • Feed

Copyright © 2006–2022 American College of Rheumatology. All rights reserved.

ISSN 1931-3268 (print)
ISSN 1931-3209 (online)

loading Cancel
Post was not sent - check your email addresses!
Email check failed, please try again
Sorry, your blog cannot share posts by email.