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Renee Posted Mon 05th of February, 2018 11:35:09 AM
my provider has submitted charges for 64493, 64494 & 64495 the documentation reports "a c-arm was used to localize the facet joints at L3/4, L4/L5, L5/S1 right ....40mg of Deopmedrol and 2ml of 1% lidocaine were then infiltrated at each level. is the 64495 charge warranted? documented? thank you ~
SuperCoder Answered Tue 06th of February, 2018 03:54:22 AM

Code 64493 is reported for the first joint injected (for a single or initial level). Add-on code 64494 is reported for the second joint or level injected or blocked.
Add-on code 64495 is reported only once per day for injections at the third and any additional lumbar or sacral level(s) treated. Codes 64493, 64494 & 64495 can be used, provided the injections were performed in the lumbar spine with fluoroscopic (or CT) guidance, as required to use these codes. 
Thank you.

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