Surgery: Nervous System (Q&A) (May 2018)

May 2018 page 10b Surgery: Nervous System Question: Facet joint injections are made to the median branch nerves at L3-4, L4-5, and L5-S1 on both the right and left sides on the same day. How is this reported? Answer: Codes 64493 , Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level and add-on codes 64494 , second level (List separately in addition to code for primary procedure) and 64495 , third and any additional level(s) (List separately in addition to code for primary procedure), should all...

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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 short CPT coding Q&A explains how a nervous system surgery question involving facet joint injections is addressed in a May 2018 article. It is intended for coders and billers who need to understand the article’s scope, which focuses on multi-level, bilateral reporting conventions for a specific procedural scenario. The content is narrowly centered on CPT guidance and a single example from CPT Assistant.

Why This Topic Matters

It helps coding professionals quickly judge whether the article is relevant to a facet joint injection reporting question and whether it may clarify CPT guidance for a multi-level bilateral service scenario.

What You Will Learn

  • How the article frames a multi-level bilateral facet joint injection reporting question
  • Which CPT guidance topic the Q&A addresses
  • What type of coding scenario the article discusses at a high level
  • How the article presents reporting for a same-day, bilateral service situation

Who Should Read This

  • Medical coders
  • Coding auditors
  • Billing staff
  • Physician practice coders
  • Compliance staff

Codes Discussed

Modifiers Discussed


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