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Neurosurgery Coding Alert

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Reporting Multiple TFESI Injections

Published on Mon Jul 05, 2021

Question: The physician documented transforaminal epidural steroid injections (TFESI) at levels L4 and L5. Is this correct, or should he have documented levels L4-L5 and L5-S1? Also, can we code with both 64483 and 64484? Michigan Subscriber Answer: Yes, you can report both 64483 (Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, [...]
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