CPT 64479, CPT 64480, CPT 64483, CPT 64484, CPT code 64479, CPT code 64480, CPT code 64483, CPT code 64484, 64479 cpt code, 64480 cpt code, 64483 cpt code, 64484 cpt code

Billing Guide For CPT 64479, CPT 64480, CPT 64483 & CPT 64484 | Anesthetic Agent

Below the descriptions and billing guidelines for CPT 64479, CPT 64480, CPT 64483 and CPT 64484 (add-on).

Click on a link to go to a section in the article.

  1. General Billing Guidelines
  2. CPT 64479
    1. Procedure
    2. Billing Guidelines
  3. CPT 64480
    1. Procedure
    2. Billing Guidelines
  4. CPT 64483
    1. Procedure
    2. Billing Guidelines
  5. CPT 64484
    1. Procedure
    2. Billing Guidelines

1. General Billing Guidelines

CPT 64479, CPT 64480, CPT 64483 and CPT 64484 are unilateral procedures. For bilateral procedures, report CPT 64479 and CPT 64483 with modifier 50.

Report add-on codes CPT 64480 and CPT 64484 twice, when performed bilaterally. Do not report modifier 50 in conjunction with CPT 64480 and CPT 64484.

Inclusive components of the CPT codes below are imaging guidance [fluoroscopy or CT] and any injection of contrast.

Localization and imaging guidance and are required for the performance of the CPT codes below.

2. CPT 64479

CPT code 64479 is described by the CPT manual as: “Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, single level.”

2.1 Procedure

The goal of the 64479 CPT code procedure is to report the injection of an anesthetic agent or/and steroid into a single level (in the form of a transforaminal epidural injection).

A cervical or thoracic transforaminal epidural injection is commonly performed in cases of radiculopathy or radiculitis.

Under the guidance of a fluoroscope or using computed tomography (CT) guidance, the provider identifies the cervical or thoracic vertebrae and its nerve root. The skin and subcutaneous tissue are anesthetized.

A contrast material is injected to identify the area of the joint in relation to the needle tip (e.g., loss of resistance technique).

Then the provider administers an anesthetic and/or steroid (e.g., triamcinolone and methylprednisolone) into the neuroforaminal epidural space (targeted nerve root).

2.2 Billing Guidelines

Report CPT code 64479 for a single level injection in the cervical or thoracic area only.

3. CPT 64480

CPT code 64480 is described by the CPT manual as: “Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, each additional level.”

3.1 Procedure

The goal of the 64480 CPT code procedure is to perform an transforaminal epidural injection in the cervical or thoracic region of a patient.

A cervical or thoracic transforaminal epidural injection is commonly performed in cases of radiculopathy or radiculitis.

Under the guidance of a fluoroscope or using computed tomography (CT) guidance, the provider identifies the cervical or thoracic vertebrae and its nerve root. The skin and subcutaneous tissue are anesthetized.

A contrast material is injected to identify the area of the joint in relation to the needle tip (for example the loss of resistance technique).

Then the provider administers an anesthetic and/or steroid (for example, triamcinolone and methylprednisolone) into the neuroforaminal epidural space (targeted nerve root).

This injection is for an additional level following injection at the initial level.

3.2 Billing Guidelines

CPT code 64480 applies to each additional level after the initial level. This is an add-on code has to be listed separately in addition to code for primary procedure.

Report 64480 in conjunction with CPT 64479. For transforaminal epidural injection at the T12-L1 level, use CPT 64479.

Because CPT 64480 is an add–on code, payers will not reimburse you unless you report it with an appropriate primary code.

4. CPT 64483

CPT code 64483 is described by the CPT manual as: “Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level.”

4.1 Procedure

The goal of the 64483 CPT code procedure is to report the injection a transforaminal epidural into a single level (lumbar or sacral).

A lumbar or sacral transforaminal injection is commonly performed in cases of lower back pain or radiculitis.

Under the guidance of a fluoroscope or using computed tomography (CT) guidance, the provider identifies the lumbar or sacral vertebrae and its nerve root. The skin and subcutaneous tissue are anesthetized.

A contrast material is injected to identify the area of the joint in relation to the needle tip (e.g., loss of resistance technique).

Then the provider administers an anesthetic and/or steroid (e.g., triamcinolone and methylprednisolone) into the neuroforaminal epidural space (targeted nerve root).

4.2 Billing Guidelines

Report CPT code 64483 for a single level injection in the lumbar or sacral area only. For additional levels, report 64484 in conjunction with CPT 64483.

5. CPT 64484

CPT code 64484 is described by the CPT manual as: “Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, each additional level.”

4.1 Procedure

The goal of the 64484 CPT code is to be reported as add-on code for each additional level level after the initial level of CPT 64483.

This procedure is described in CPT 64483 and this injection is for an additional level following injection at the initial level.

4.2 Billing Guidelines

Report CPT 64484 togeter with CPT 64483.

Because CPT 64484 is an add–on code, payers will not reimburse you unless you report it with an appropriate primary code.

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