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Facet Blocks - new codes

  1. #1
    Default Facet Blocks - new codes
    Medical Coding Books
    Hello, I'm confused about the new Facet Block Codes (64493, 64494, 64495).

    If the surgeon does 1 Lumbar Facet Block with (3 or more) additional levels, how would that be coded?? (Coding descriptions below) I know insurances are different, but with these new codes, what is the general rule? Thanks all.

    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

    64494: “ “ second level (List seperately in addition to code for primary procedure)

    64495: ” “ third and any additional level(s) (List seperately in addition to code for primary procedure)
    Marci A. Giardina, CPC

  2. Default

    As per new guidelines even if physician had performed 4 levels of lumbar facet joint injection, codes issued will be


    64493 is for first and single level, 64494 is for second level and 64495 is for third or any additional level.
    And as per notation below 64495. This code cannot be reported more than once per day.

    I hope it helps

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