Radiology Test Case Answer

Fall 2023 page 30 RADIOLOGY TEST CASE ANSWER: Cervical and Lumbar Facet Joint Steroid Injections HOW TO 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 + 64491 Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; second level (List separately in addition to code for primary procedure) 64493 -50 Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy...

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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 explains a radiology test case involving cervical and lumbar facet joint steroid injections, associated moderate sedation reporting, and related diagnosis coding. It is aimed at coders and billing staff who need to understand how the case is framed, what code sets are referenced, and what broader payer and documentation topics are discussed. The article also touches on Medicare-specific considerations, CPT and ICD-10-CM references, and external guidance sources.

Why This Topic Matters

Facet joint injection cases often involve multiple procedure and diagnosis code considerations, plus payer-specific reporting differences. This article helps readers determine whether the premium discussion is relevant to their coding workflow, compliance review, or radiology billing education.

Article Sections

  1. Fall 2023 page 30

    Identifies the source issue and page context for the radiology case answer.

  2. Radiology test case answer: Cervical and Lumbar Facet Joint Steroid Injections

    Introduces the case topic and the general procedure area covered in the answer.

  3. How to code

    Presents the coding references associated with the case, including procedure, sedation, and diagnosis code sets.

  4. Discussion

    Provides broader coding discussion, including payer considerations, reporting context, and related guideline references.

  5. Sources

    Lists the reference publications and external guidance used for the article.

What You Will Learn

  • What topics the case answer addresses
  • Which code sets are referenced in the discussion
  • What broader payer and documentation considerations are mentioned
  • Which external sources support the article

Who Should Read This

  • Medical coders
  • Radiology billing staff
  • Compliance professionals
  • Coding educators
  • Revenue cycle teams

Codes Discussed

Code Ranges Discussed

Modifiers Discussed


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