• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below.
  • We're introducing new features and a new look to make the forums easier to use and more valuable to you. See what's new and let us know what you think!

Facet Joint Injection w/aspiration


Toledo, Ohio
Best answers
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