AMA CPT® Assistant - 1996 Issue 4 (April)

Coding a Facet Joint Injection (April 1996)

April 1996 pages 6-7 Coding Communication Coding a Facet Joint Injection The reporting of paravertebral facet joint nerve injection of anesthetic and/or steroidal agents has generated frequent inquiries regarding codes 64440*, 64441*, 64442*, and 64443*, specifically in regard to the anatomy/technique involved, laterality (bilateral/unilateral), the fluoroscopic guidance with or without contrast, and the existing code choice (for the type of medication injected and spinal region [cervical, thoracic, lumbar]). A Review of Vertebral Facet Joints Each spinal vertebrae consists of two main parts: the body and, behind it, the vertebral arch. The vertebral body is the cylinder of bone responsible...

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