Neurology & Pain Management Coding Alert

You Be the Coder:

Which Code for Pars Interarticularis Injection?

Question: Which codes apply to a pars inter-articularis defect facet injection? The neurologist did not specify the level.

Oklahoma Subscriber

Answer: Neurologists perform facet joint injections to relieve or control pain believed to be from a pars interarticularis defect.
 
You must know the injection level before coding the procedure, so ask the physician for more details. With complete information in hand, you should select a code from the 64470-64476 series (Injection, anesthetic agent and/or steroid, paravertebral facet joint or facet joint nerve ...), depending on the level.

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