CPT Knowledgebase - Feb 14, 2011

What CPT code is reported for a diagnostic right L5 pars injection using fluoroscopy? The patient was treated for low back pain and was under evaluation by a neurosurgeon for possible surgical intervention. The neu-rosurgeon requested a right L5 pars diagnostic injection to help determine pain generator. Pars refers to a part or portion of the anatomical structure, the spine in this case. Utilizing AP fluoroscopy, the right L5 pars was identi-fied and a 20-gauge spinal needle was directed down to it. After careful aspiration, 0.5 cc of a 50/50 combination of 0.5% marcaine and 1% lidocaine without epinephrine were injected.

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