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  • Billing and Coding: Facet Joint Interventions for Pain Management
    As defined by the Current Procedural Terminology (CPT) Professional edition code book, there are 2 distinct anatomic spinal regions for paravertebral facet injections: cervical thoracic (codes 64490, 64491) and lumbar sacral (codes 64493, 64494)
  • Coding and Billing Facet Joint Injections - AAPC
    Currently, the facet joint injections procedural codes are located in the nervous system section of the CPT® manual The six codes are: Report 64490-64495 once per level, per side, regardless of the number of needle placements that are required
  • LCD - Facet Joint Interventions for Pain Management (L38841)
    The facet block procedure is an injection of a local anesthetic, with or without a steroid medication, either into the facet joint (intra-articular) or outside the joint space around the nerve supply to the joint (the medial branch nerve) known as medial branch block (MBB)
  • Facet Joint and Medial Branch Block Injections for Spinal Pain
    Facet Joint Injections (FJIs): The injection of a local anesthetic and or corticosteroid into the facet joint capsule The injection block applies directly to the facet joint(s) blocked and not to the number of nerves blocked that innervate the facet joint(s)
  • The Facts on Facet Joint Injections - American Society of . . .
    The LCD addresses coverage indications, limitations and medical necessity considerations for diagnostic and therapeutic facet joint injections, facet joint denervation, and facet cyst aspiration rupture as described by CPT® codes:
  • CP. MP. 171 - Facet Joint Interventions - Ambetter
    Diagnostic Facet Joint Injections, performed under fluoroscopy or computed tomographic (CT) guidance, are considered medically necessary for the following indications: Up to two* controlled medial branch blocks facet joint injections in the lumbar and cervical regions when all the following criteria are met:
  • Local Coverage Article: Billing and Coding: Facet Joint Interventions . . .
    An anatomic spinal region for thermal facet joint denervation is defined as cervical thoracic (CPT codes 64633 and 64634) or lumbar sacral (CPT codes 64635 and 64636) per the AMA CPT Manual
  • Coding Facet Joint Injections - Find-A-Code
    There are up to three CPT codes used to report facet joint injections based on spinal region The codes allow for three levels maximum per session Anything over three are considered free of charge, as they will not be reimbursed The T12-L1 facet joint is considered part of the lumbar sacral region when coding facet joint injections


















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