Neurosurgery Coding Alert

Reader Questions:

Decipher This Injection Situation

Question: The neurosurgeon injected a diagnostic agent into the patient’s facet joint at two levels of the cervical region. He used imaging fluoroscopy imaging guidance. Which CPT® codes should I report for this service? Ohio Subscriber Answer: You should report 64490 (Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or [...]
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