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Thread: Atlanto Axial Joint Injection

  1. #1

    Default Atlanto Axial Joint Injection

    Good Day.....
    I am looking for guidance on how to correctly bill for an atlantoaxial joint injection. Is this a facet block or should it be billed as an intermediate joint injection? If Facet block, what level would I associate it with?


  2. #2
    Join Date
    Apr 2007


    Below is from AMA CPT Assistant December 2010

    Question:What is the appropriate code to report for an intra-articular atlanto-occipital joint injection (AO or C0-C1 joint) or an intra-articular atlanto-axial joint injection (AA or C1-C2 joint)?Marvel J Hammer RN CPC CCS-P PCS ACS-PM CHCO, Denver, CO

    Answer:It is appropriate to report code 64490, Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; single level, for either atlanto-occipital or atlanto-axial joint injection. The atlanto-occipital joint is between the base of the skull and first vertebrae of the cervical spine. Injections into the atlanto-occipital joint may be used to treat pain at the back of the head.

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