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Pain Management Coding Update: Facet Joint Injection CPT Changes for 2010

Posted on 29. Oct, 2009 by in Hot Coding Topics

Pain management, anesthesia, orthopedic, physiatry & neurology coders get ready for a facet joint codes shift that preps for ICD-10.

The 2010 version of CPT attempts to organize the facet joint injection codes by deleting 64470-64476 and debuting 64490- 64495 in their place, as follows:

• 64490 — 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

• 64491 — … second level

• 64492 — … third and any additional level(s)

• 64493 — Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level

• 64494 — … second level

• 64495 — … third and any additional level(s).

“Pain management coders are going to have to be on the ball to read these, to make sure that they don’t code these inappropriately,” says Leslie Johnson, CPC, quality...

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