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...
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
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