AMA CPT® Assistant - 2000 Issue 2 (February)
Injection of Anesthetic and/or Steroidal Agents 64470-64484 (February 2000)
February 2000 pages 4-6 Coding Communication Injection of Anesthetic and/or Steroidal Agents 64470-64484 This article is the second of a three part series of articles addressing injections into the spine and spinal cord. Specifically, the injection of anesthetic agents, CPT codes 64470 - 64484 will be discussed. The introduction/injection of anesthetic agent (nerve block), diagnostic or therapeutic series of codes were revised in CPT 2000 to reflect current clinical practice. Code descriptors now include spinal anatomy not previously identified (eg, cervical and thoracic spinal regions). The paravertebral facet joint or facet joint nerve codes are intended to clarify the...
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Article Overview
This article explains a February 2000 CPT Assistant discussion of spinal injection coding updates for anesthetic and/or steroidal agents. It is aimed at coders, billing staff, and clinicians who work with spine procedures and need to understand the scope of the revised code families, associated guidance notes, and related imaging reporting. The article also compares different spinal injection approaches and highlights the broader coding context for the 2000 CPT changes.
Why This Topic Matters
Spine injection coding changed significantly in CPT 2000, and this article helps readers recognize how the revised code families are organized and when related reporting considerations may apply. It is useful for accurate code selection, consistent documentation review, and understanding the relationship between procedure type, spinal region, and imaging support.
Article Sections
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February 2000 pages 4-6
Publication and issue information for the coding communication.
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Coding Communication
An overview of the article’s purpose and its place in a multi-part series on spinal injection coding.
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Paravertebral Facet Joint or Facet Joint Nerve Codes 64470-64476
Discussion of the revised facet joint code family, the spinal regions addressed, and general reporting considerations tied to those codes.
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Clinical Vignettes
Illustrative cases showing the type of documentation and procedure context discussed for the spinal injection families.
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Transforaminal Epidural Injection Codes 64479-64484
Discussion of the transforaminal epidural code family, the spinal regions addressed, and general reporting considerations tied to those codes.
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Clinical Vignette
An example case illustrating the procedure context for the transforaminal epidural injection family.
What You Will Learn
- How the article frames the 2000 CPT updates for spinal injection coding
- Which broad spinal injection code families are addressed
- What general topics are covered regarding unilateral procedures, add-on reporting, and imaging support
- How the article situates the codes within a three-part series on spine and spinal cord injections
Who Should Read This
- Medical coders
- Billing and reimbursement staff
- Clinical documentation specialists
- Pain management and spine procedure practices
- Physicians and proceduralists who document spinal injections
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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