Wiki L45 transforaminal and S1 foramen injections

[Art111085]

My Dr. has coded 64483 as L45 transforaminal injection then has listed S1 foramen injection. Upon review I have came up with 64483 and 62311. Please advise if this seems correct.

Thanks,
Amber

 

[marvelh]

Did the physician inject the L4 and the L5 or the L4-L5 as this changes number of levels for coding, particularly transforaminal.

The S1 foraminal injection is a transforaminal injection.

IF the physician performed a transforaminal injection of the L4 spinal nerve at the L4-L5 interspace AND a transforminal injection of the L5 spinal nerve at the L5-S1 interspace, then along with the S1 foraminal injection, he would have injected a total of 3 separate levels or 64483 x 1 and 64484 x 2

IF however the physician performed a transforaminal injection of the L4 spinal nerve at the L4-L5 interspace and the S1 foraminal injection, he would have injected only 2 separate levels and would be coded as 64483 x 1 and 64484 x 1.

You may need to check with your physician if the injection procedure detail doesn't clearly identify the number of needles inserted / number of levels injected.

 

[Art111085]

marvelh,

He performed a transforaminal injection of the L4 at the L4-L5 interspace and the S1 foraminal injection.
I will go ahead and use the 64483, 64484 each with one level.

Thanks a bunch!
Amber