CPT^® 64493, Under Introduction/Injection of Anesthetic Agent (Nerve Block), Diagnostic or Therapeutic Procedures on the Paravertebral Spinal Nerves and Branches

The Current Procedural Terminology (CPT^®) code 64493 as maintained by American Medical Association, is a medical procedural code under the range - Introduction/Injection of Anesthetic Agent (Nerve Block), Diagnostic or Therapeutic Procedures on the Paravertebral Spinal Nerves and Branches.

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Summary

The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance (fluoroscopy or computed tomography [CT]). This code represents the service at one facet joint level (on one side).

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Transverse Process Pseudoarticulation Steroid Injection

This would be coded as a 64493. The L6 is an extra vertebrae that some people have. Melissa Harris, CPC... [ Read More ]

Help coding a Pseudo Joint (lumbarization) at at S1

We have a patient has has a pseudo joint (lumbarization) at S1. I believe this would be coded as a 64493 as it is an extra vertebra, but I am not 100% sure. Any help is greatly appreciated. Thank ... [ Read More ]

L4, L5, S1 Bilateral Medial Branch Blocks

64493, 64494, 64495 are the correct codes, as there are three levels. No need for a 50 modifier, because there is no reference to a bilateral procedure.... [ Read More ]

L4, L5, S1 Bilateral Medial Branch Blocks

This isn't my coding specialty, but I would have coded 64493, 64494 & 64495 for the three injections at three different levels. How are you reading this as a bilateral procedure? I don't see anythin... [ Read More ]

L4, L5, S1 Bilateral Medial Branch Blocks

You are correct 64493 50 and 64494 50... [ Read More ]

L4, L5, S1 Bilateral Medial Branch Blocks

I want to make sure I understand how to bill MBBs. Please help me determine the levels per this op: [I]Lying in a prone position, the patient was prepped and draped in the usual sterile fashion using... [ Read More ]

Coding newly acquired Radiologist in Professional Coding 64493 64494 fluroscopic guidance fluroscopy pain block radiology group

We are a hospital based physician coding group (we only code [-26] professional side) We have newly acquired a radiology group and need to pose a question. Pain physician did a medial branch block o... [ Read More ]

facet synovial cyst

[QUOTE="jkyles@decisionhealth.com, post: 505986, member: 269282"] Hi there. For Medicare Part B you would report the paravertebral facet joint injection based on the section of the spine/level (64490-... [ Read More ]

facet synovial cyst

[QUOTE="Tgainer, post: 505982, member: 49676"] what cpt to bill for a facet synovial cyst rupture [/QUOTE] Hi there. For Medicare Part B you would report the paravertebral facet joint injection based ... [ Read More ]

Pain Management anesthesia cross walk codes

Below is what I am also using: MBB range 64490 - 64493 01937 or 01938 RFA range 64633 - 64635 01939 or 01940 TFESI 64479 - 64483 -01937 or 01938 depending on region ESI will be 01937 or 01938 From A... [ Read More ]

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