Correct cpt codes for this? Just 64493?
FLUOROSCOPY WAS UTILIZED TO IDENTIFY THE RIGHT L4-5 FACET JOINT. SUPERFICIAL AND DEEP ANESTHETIC WAS APPLIED AND A 13-GAUGE NEEDLE WAS ADVANCED DOWN INTO THE JOINT. FACET ARTHROGRAM WAS THEN PERFORMED WITH INJECTION OF CONTRAST. THIS DEMONSTRATED GOOD OPACIFICATION OF THE JOINT SPACE WITH COMMUNICATION MEDIALLY INTO THE SYNOVIAL CYST NOTED ON RECENT MRI. MANUAL ASPIRATION WAS WAS PERFORMED FOR REMOVAL OF APPROXIMATELY 2 CC OF SYNOVIAL FLUID. A SECOND 13-GAUGE NEEDLE WAS THEN ADVANCED DOWN
L2 THE FIRST NEEDLE AND INTO THE LATERAL JOINT. MANUAL LATERAL CAPSULAR DISRUPTION WAS THEN PERFORMED WITH AGGRESSIVE MANIPULATION OF THESE 2 NEEDLES. TARGETED INTRA-ARTICULAR BLOCK WAS THEN PERFORMED UTILIZING 80 MG OF DEPO-MEDROL AND 2 CC OF MARCAINE. THE NEEDLES WERE REMOVED
FLUOROSCOPY WAS UTILIZED TO IDENTIFY THE RIGHT L4-5 FACET JOINT. SUPERFICIAL AND DEEP ANESTHETIC WAS APPLIED AND A 13-GAUGE NEEDLE WAS ADVANCED DOWN INTO THE JOINT. FACET ARTHROGRAM WAS THEN PERFORMED WITH INJECTION OF CONTRAST. THIS DEMONSTRATED GOOD OPACIFICATION OF THE JOINT SPACE WITH COMMUNICATION MEDIALLY INTO THE SYNOVIAL CYST NOTED ON RECENT MRI. MANUAL ASPIRATION WAS WAS PERFORMED FOR REMOVAL OF APPROXIMATELY 2 CC OF SYNOVIAL FLUID. A SECOND 13-GAUGE NEEDLE WAS THEN ADVANCED DOWN
L2 THE FIRST NEEDLE AND INTO THE LATERAL JOINT. MANUAL LATERAL CAPSULAR DISRUPTION WAS THEN PERFORMED WITH AGGRESSIVE MANIPULATION OF THESE 2 NEEDLES. TARGETED INTRA-ARTICULAR BLOCK WAS THEN PERFORMED UTILIZING 80 MG OF DEPO-MEDROL AND 2 CC OF MARCAINE. THE NEEDLES WERE REMOVED