Report 64493 for the unilateral injection. Example: Under fluoroscopic guidance, a physician performs bilateral facet joint injections at L3-4 and L4-5. Report code 64493-50 for the bilateral injection at L3-4 and 64494-50 for the bilateral injection at L4-5.
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Long term (current) use of systemic steroids The 2022 edition of ICD-10-CM Z79. 52 became effective on October 1, 2021. This is the American ICD-10-CM version of Z79.
ICD-10 code T80 for Complications following infusion, transfusion and therapeutic injection is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of external causes .
A transforaminal epidural steroid injection (TFESI) performed at the T12-L1 level should be reported with CPT code 64479.
62311. lumbar or caudal epidural injections are for patients with pain in the legs and/or lower back/buttock(s) area. 62318.
CPT® code 96372: Injection of drug or substance under skin or into muscle.
The CPT code 96372 should be used–Therapeutic, prophylactic, or diagnostic injection.
A transforaminal lumbar epidural steroid injection (TFESI) is an injection of corticosteroids (anti-inflammatory medication) into the epidural space. When it is done from the side where the nerve exits the spine, it is called a transforaminal injection. It puts medication near the source of the inflammation.
Fluoroscopic guidance is included in the descriptor of CPT 64483 (Injection(s), anesthetic agent and/or steroid, transforaminal epidural, with imaging guidance (fluoroscopy or CT); lumbar or sacral, single level) and cannot be submitted for separate payment.
62361 (Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump).
760008. Fluoroscopy reported as CPT code 76000 is integral to many procedures including, but not limited, to most spinal, endoscopic, and injection procedures and shall not be reported separately. For some of these procedures, there are separate fluoroscopic guidance codes which may be reported separately.
Only the injection code (20610) and the J code for the cortisone should be billed to Medicare.
Coding Guidelines CPT codes 63650, 63655, and 63661-63664 describe the operative placement, revision, replacement, or removal of the spinal neurostimulator system components to provide spinal electrical stimulation.
Nearly two-thirds of the coding errors identified by the Department of Health and Human Services (HHS) Office of Inspector General (OIG) involved bilateral injections.
When reporting facet joint codes, you may not bill separately for the image guidance. Whether using fluoroscopy or computed axial tomography, guidance is required.