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Wiki Lipogem injection into facet joint

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Soms4

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Hello,
We have an ASC that is injecting Lipogem or A2M into their facet joints. The providers want to use CPT code 64493, this code states a therapeutic or diagnostic agent is used. They are being used as a therapeutic agent. Per Medicare LCDs it specifies a steroid or anesthetic used but I cannot find anything from AMA that it specifies it has to be those substances. Does anyone else do these and what codes to you use for non Medicare payers?

Thank you!
 
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