2013年2月12日 · The L3, L4, and L5 medial branch nerves innervate the L4-L5 and L5-S1 facet joints. Therefore, code 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, is reported for the first joint injected ...

2013年9月1日 · A 68-year-old male who has lumbar spinal stenosis at L5-S1 undergoes partial laminectomies at L5 and S1, with medial facetectomy and foraminotomy at L5-S1. This is reported with 63047. Example 2 A 33-year-old female herniates an intervertebral disc on the right at L4-L5 while lifting her 4-year-old child.

2017年12月1日 · The L3, L4, and L5 medial branch nerves innervate the L4-L5 and L5-S1 facet joints. Therefore, code 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, is reported for the first joint injected ...

2016年9月13日 · CPT 64633-64636 are not coded by level but by facet joint so if the physician states he did L4-S1, there are only 2 joints included if unilateral and 4 if bilateral. It is assumed the top of L4 is not included because the physician would have to state L3 as well. Ideally, L4, L5, S1 should be documented as L4/L5, L5/S1 with the side or sides ...

2022年4月12日 · L4-5, L5-S1 = 64493, 64494. Per CMS guidelines: Facet joint- A diarthrodial joint in the spinal column (also called the zygapophysial joint or z-joint), producing the articulation of the posterior elements of one vertebra with its neighboring vertebra. They are bilateral superior and inferior articular surfaces at each spinal level.

2016年6月1日 · For example, a combined posterior lumbar interbody fusion and posterolateral fusion at L5-S1, with an adjacent posterolateral fusion at L4-L5, with decompression at both L5-S1 and L4-L5, may be reported to Medicare with 22633 (L5-S1), +22614 Arthrodesis, posterior or posterolateral technique, single level; each additional vertebral segment ...

2020年1月29日 · There is actually a new code for 2020 for Sacroiliac RFA's. For S1, S2, S3, we now use the 64625 and S4 is 64640. So if S1-4 was performed it's billed 64625, 64640. We use M461 almost always or the M47817 we have not gotten a denial. If it's prior to 2020, 64640x4 is correct. 64635-64636 is for the lumbar spine.

2020年11月14日 · Below S1, however, the vertebra are fused, so there really isn't an S1-S2 'joint' - the opening in the sacrum where the S1 nerve exits may be just referred to as the S1 sacral foramen. I suspect this may be what your physician is doing here - an injection at L5-S1 to treat the L5 nerve root, and an injection at the S1 foramen (S1-S2) for the S1 ...

a minimally invasive technique designed to provide anterior access to the L4-S1 disc spaces for interbody fusion while minimizing damage to muscular, ligamentous, neural, and vascular structures. It is performed under fluoroscopic guidance. A variety of minimally invasive/minimal access procedures are being investigated to perform interbody

2012年3月11日 · If he is stating the treatment of L3, L5, L4, S1 as medial branches and not indicating these are anatomical locations of the procedures then L3, L4 (L3 at L4 antomical location, L4 at L5 anatomical location) 64635 L4,L5,S1 ( L4 at L5 anantomical location, L5 at Sacral ala, S1 communicating branch included) 64636