Neurosurgery Coding Alert

Reader Question:

You Can Equate Selective Nerve Root and Epidural Injections

Question: What is the correct code for a selective nerve root injection?

Nebraska Subscriber Answer: Medical professionals often interchange the term "selective nerve root injection" with "transforaminal epidural injection." Therefore, you should choose a code from the 64479-64484 range (Injection, anesthetic agent and/or steroid, transforaminal epidural ...). Although some carriers use the two terms interchangeably, others do not: Check with your payer to determine which ICD-9 codes it accepts for selective nerve root injection.
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