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Thread Link: 64493,64494,64495

  1. W
    watsoneric
    64493, 64494, 64495

    You would bill +64494 Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; second level (List separately in addition to code for primary procedure), just once. Add-on code 64495 Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; third and any additional level(s) (List separately in addition to code for primary procedure), is also reported only once per day for injections at the third and any additional lumbar or sacral level(s) treated (which does not apply to this case). Codes +64494 and +64495 should only be used in conjunction with code 64493 Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level for injections performed in the lumbar spine with fluoroscopic (or CT) guidance, as required to use codes 64490-64495. Depending on the levels, coding should be 64493 (1st level - one unit), +64494 (2nd level - one unit), and +64495 (all levels at one unit).
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