AMA CPT® Assistant - 2010 Issue 12 (December)

Surgery: Nervous System (Q & A) (December 2010)

December 2010 pages 13-14 Surgery: Nervous System Question: What is the appropriate code to report for an intra-articular atlanto-occipital joint injection (AO or C0-C1 joint) or an intra-articular atlanto-axial joint injection (AA or C1-C2 joint)? Marvel J Hammer RN CPC CCS-P PCS ACS-PM CHCO, Denver, CO Answer: It is appropriate to report code 64490, Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; single level, for either atlanto-occipital or atlanto-axial joint injection. The atlanto-occipital joint is between the base of the skull and first vertebrae...

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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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