CPT Knowledgebase - Jun 16, 2015

Does the intent and use of code 64520, Injection, anesthetic agent; lumbar or thoracic (paravertebral sympathetic), allow for multiple unit reporting when performed in several spinal thoracic levels? Is code 64520 reported only once to represent all injections performed in that spinal region? For example, a physician performs incremental lumbar sympathetic injections via separate needle placement and injections anterior to the L1, L2, and L3 vertebral bodies (ie, paravertebral lumbar sympathetic ganglia). Is it appropriate to report code 64520 with three units of service or just one unit of service?

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