CPT Knowledgebase - Jul 27, 2006

The physician is performing multiple injections in L4-5. He is performing a medial branch lumbar facet nerve block, as well as facet steroid injections. He initially inserts a needle to a depth of 1.2 mm within the facet joint. He then injects Depo-Medrol into each facet joint (L3-4, L4-5, L5-S1) and removes the needles completely. Following this, the physician inserts another set of needles, this time to the tar points until the bone is reached in order to complete the nerve block. At this juncture, Marcaine is being injected, and once again the needles are withdrawn. Should code 64475 be reported more than one time for each injection?

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