AMA CPT® Assistant - 2018 Issue 5 (May)

Surgery: Nervous System (Q&A) (May 2018)

May 2018 page 10b Surgery: Nervous System Question: Facet joint injections are made to the median branch nerves at L3-4, L4-5, and L5-S1 on both the right and left sides on the same day. How is this reported? Answer: Codes 64493, 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 and add-on codes 64494, second level (List separately in addition to code for primary procedure) and 64495, third and any additional level(s) (List separately in addition to code for primary procedure), should all...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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