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Thread: facet injection

  1. #1

    Default facet injection

    AAPC: Back to School
    Just wanted to ask the group how a facet injection should be coded.
    If the Doctor specifies L2-L3, L3-L4, L4-L5 what would you code ???
    At my facility we are told to code 64475, 64476,64476,64476.
    Please help with this question as I believe it could be wrong, to me it should be coded as 3 levels, 64475,64476,64476. I really appreciate all responses.

  2. #2
    Join Date
    Apr 2007
    Amarillo Texas Chapter

    Default Facet Level coding


    Yes you are correct....facet level injections are done at each intervertebral level and not each vertebrae. Thus in this case L2-L3 is one level for which the code would be 64475, L3-L4 would be second level for which the code would be 64476 and for L4-L5 it would be third level for which the code would be 64476 again. Thus it becomes 64475 and 64476 x 2. These are unilateral codes if done bilaterally would come with modifier 50 and if fluoroscopic guidance mentioned then it would also come with 77003.

    Dr Kusuma.

  3. #3
    Join Date
    Apr 2007


    I agree with kusuma.

    77003-TC (if applicable)

  4. #4


    Thanks for responding, I really appreciate it. As it was dicussed at work
    we coded the same. Thanks Again..Sandra

  5. #5


    I also agree with kusuma....that's how I code them in our ASC.

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