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Thread: Facet Injections

  1. #1
    Join Date
    Apr 2007

    Default Facet Injections

    AAPC: Back to School
    I have a diagnosis of facet arthropathy and back pain. The procedure is a facet joint injection w/flouroscopic guidance for the left- L2-3, L3-4, L4-5 and the right - L3-4, L4-5, L5-S1. With two of the levels being bilateral and we can only have three levels, should I code the bilateral levels first and then pick the right or left for the third?

  2. #2


    If we're talking about 64483/4, CPT says use modifier -50 for bilateral procedures. I'd put your highest valued procedure 1st.

    Possible coding for your scenario:
    64483-50 (L3-4)
    64484-50 (L4-5)
    64484 (L2-3)
    64484 (L5-S1)
    Guidance is included in codes

    Remember, LT/RT is not CPT. I'd be sure payer accepts HCPCS modifiers before I submit that way. In this case, RT/LT would be information only not unbundling.

    Good Luck!

  3. #3
    Join Date
    Apr 2007


    Thank you for your response. I didn't know if you had to code the vertebrae in order. Just looking at what gives you the highest value first makes sense.

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