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2 Μαΐ 2021 · An anatomic spinal region for paravertebral facet joint block (diagnostic or therapeutic), is defined as cervical\thoracic (CPT codes 64490, 64491, 64492) or lumbar\sacral (CPT codes 64493, 64494, 64495) per the AMA CPT Manual.
11 Ιουλ 2019 · CPT code 64490 (cervical or thoracic) or CPT code 64493 (lumbar or sacral) reports a single level injection performed with image guidance (fluoroscopy or computed tomography [CT]). Procedures performed under ultrasound guidance are not covered.
Learn how to bill and code paravertebral facet joint block and denervation procedures with CPT codes 64490-64495 and 64633-64636. Find out the modifier, level, and guidance requirements for each code.
CPT 64493 describes the injection of a diagnostic or therapeutic agent into a facet joint or the nerves innervating that joint at the lumbar or sacral level, using imaging guidance such as fluoroscopy or CT scan.
Coding and Payment Guide for Medicare Reimbursement: The following are the 2024 Medicare coding and national payment rates for Radio Frequency Ablation (Facet Joint) procedures performed in an ambulatory surgical center, physician office, or outpatient hospital. Therapeutic Procedures. Physician. Ambulatory Surgery Center. Outpatient. Hospital.
The CPT codes 64490 and 64493 are intended to be used to report all of the nerves that innervate the first level paravertebral facet joint and not each nerve. Likewise, CPT codes 64491, 64492 and 64494, 64495 are intended to report second and third additional levels paravertebral facet joints and not each additional nerve.
Understanding the billing guidelines for image guidance ensures accurate reporting and appropriate reimbursement for facet joint injections using CPT code 64493. This helps healthcare providers streamline their billing processes and optimize their revenue cycle.
