Anesthesia Coding:
Check Imaging Used Before Selecting Injection Code
Published on Fri Feb 27, 2026
Question: A provider used ultrasound guidance when performing an injection in the zygapophyseal joint. Is this included in code 66490? Idaho Subscriber Answer: No. CPT® code 66490 (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) is a good call for reporting the injection [...]