Anesthesia Coding Alert

Reader Question:

64479-64484 Will Include All Selective Nerve Root Block

Question: What would be the CPT® code for selective nerve root block?

Illinois Subscriber

Answer: You should typically report a selective nerve root block (SNRB) with a transforaminal epidural injection code, depending on the spinal region. Your choices are: 

  • 64479 – Injection(s), anesthetic agent and/or steroid, transforaminal epidural, with imaging guidance (fluoroscopy or CT); cervical or thoracic, single level 
  • 64480 – ... cervical or thoracic, each additional level (List separately in addition to code for primary procedure) 
  • 64483 – ... lumbar or sacral, single level 
  • 64484 – ... lumbar or sacral, each additional level (List separately in addition to code for primary procedure).

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