Nervous System/Surgery (May 2004)

May 2004 page 15b Coding Consultation:Questions and Answers Nervous System, 64475 (Q&A) Question The physician is performing multiple injections in L4-5. He is performing a medial branch lumbar facet nerve block, as well as facet steroid injections. He initially inserts a needle to a depth of 1.2 mm within the facet joint. He then injects Depo-Medrol into each facet joint (L3-4, L4-5, L5-S1) and removes the needles completely. Following this, the physician inserts another set of needles, this time to the tar points until the bone is reached in order to complete the nerve block. At this...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article presents a coding consultation from CPT Assistant focused on a nervous system/surgery injection scenario involving facet-related procedures in the lumbar and sacral spine. It is aimed at coders and other reimbursement professionals who need to understand the scope of the discussion, the anatomical context, and the CPT coding issue addressed in the Q&A format.

Why This Topic Matters

It helps readers recognize that the article is about CPT coding guidance for a spine injection scenario and whether repeated needle placements affect reporting at the same spinal level. That makes it relevant for facilities, physicians, and coding staff working with interventional pain or spine procedure documentation.

Article Sections

  1. Coding Consultation: Questions and Answers

    A Q&A discussion presenting a billing and coding scenario for spine-related injections and the associated CPT guidance in a general consultation format.

What You Will Learn

  • The article’s clinical and coding context within nervous system surgery.
  • How the Q&A format frames a specific procedural reporting concern.
  • The general topic of CPT guidance for spine injection documentation.
  • The relevance of repeated needle placement to coding review.

Who Should Read This

  • Medical coders
  • Coding auditors
  • Physician billing staff
  • Pain management practices
  • Spine and interventional procedure billers

Codes Discussed


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