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Thread: anesthesia for facet block

  1. #1
    Join Date
    Apr 2007
    Pasadena, CA

    Default anesthesia for facet block

    AAPC: Back to School
    I am coding for anesthesia given for facet block. The new facet block codes (64490,64493) crosswalk over to 01935 w/ 01936 being an alternate. The surgeon is injecting steroid and Marcaine, so isn't this considered a therapeutic injection for the pt's back pain? What would a surgeon inject into the facet for it to be considered a diagnostic injection?

    Any help is greatly appreciated!

  2. #2


    I think that you could use the solution you mentioned for either. The physician injects the patient and if the pain does not go away he/she is able to rule out a specific dx like spondylosis. Likewise, it could be used therapeutically to treat spondylosis. I would check with your docs as to the purpose and educate them on documentation.

  3. #3
    Join Date
    Apr 2007
    Denver Colorado


    Local anesthetic, i.e. Lidocaine or Marcaine, is typically injected for diagnostic facet joint injections.

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