Is CPT 64494 an add on code?

CPT 64494 is an add on code. Medicare will not pay these.

Does CPT code 64490 need a modifier?

CPT codes 64490-64495 should only be reported once per level, per side, regardless of the number of needle placements that are required. For example, if an injection is performed on both sides of one vertebral level, providers should report the primary injection code (64490 or 64493) with modifier -50.

How do you bill bilateral facet joint injection?

For instance, for injections performed on both sides of one vertebral level, report the base injection code (64490 or 64493) with modifier 50 Bilateral procedure. If a second level is injected bilaterally, report the add-on code (64491 or 64494), also with modifier 50.

What is a lumbar facet injection?

A lumbar intra-articular injection is an injection of an anti-inflammatory medication and an anesthetic into the joint capsule of the facet joint to treat the pain in your lower back (as shown in the figure to the right). The goal of this injection is to improve your spine motion as well as provide pain relief.

Does Medicare pay for 64494?

Medicare is establishing the following limited coverage for CPT/HCPCS codes: 64490, 64491, 64493, 64494, 64633, 64634, 64635, and 64636. Note: ICD-10 Codes M71. 30 or M71. 38 are allowed for facet cyst rupture procedures only.

What is the difference between facet and epidural injections?

Although both treatments are utilized for pain relief, they’re used for different underlying conditions. Epidural injections are for the back pain that radiates to the arm or legs. On the other hand, facet injections are injected into the facet joints for patients that suffer from degenerative conditions.

What is the CPT code 64490?

The Current Procedural Terminology (CPT ®) code 64490 as maintained by American Medical Association, is a medical procedural code under the range – Introduction/Injection of Anesthetic Agent (Nerve Block), Diagnostic or Therapeutic Procedures on the Paravertebral Spinal Nerves and Branches.

What does CPT code 64999 not cover?

Note: CPT code 64999 is non covered when used to report non thermal facet joint denervation including chemical, low grade thermal energy (less than 80 degrees Celsius) or any form of pulsed radiofrequency. Note: When reporting CPT code 64999 ensure that the description of the service is included on the claim.

How much does it cost to replace a 64470 implant?

64490 – Replaces 64470 INJECTION (S), DIAGNOSTIC OR THERAPEUTIC AGENT, PARAVERTEBRAL FACET (ZYGAPOPHYSEAL) JOINT (OR NERVES INNERVATING THAT JOINT) WITH IMAGE GUIDANCE (FLUOROSCOPY OR CT), CERVICAL OR THORACIC; SINGLE LEVEL – average fee payment – $200 – $210

What is the CPT code for zygapophyseal injection?

64490 – CPT® Code in category: Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic.