Facet Joint Injection w/aspiration

lcole7465

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I have not ever been asked this before and not sure myself. My pain doc performed a Right Facet Joint Injection (64493, 64494), he also performed an aspiration on the same joints. Can the aspiration be billed separately from the injection? Insert from the procedure report is below:

I advanced the needle towards the facet joint until I got good position of the needle into the AP, lateral and oblique view at the above levels. We had positive aspirate of yellow serous fluid from both joints and negative parethesia. I injected 1 ml of Omnipaque 300mg/mL, which showed good spread of the dye along the facet joint at the right L4-L5 and L3-L4. I had negative aspirate and negative paresthesia.

Thank you for any input
 
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