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Transforaminal Epidural Codes 64479, +64480, 64483, +64484 now includes
Imaging Guidance (Fluoroscopy or CT).

New Codes for Transforaminal Epidural Category III codes when performed
under Ultra-sound Guidance.
PAIN MANAGEMENT MEDICAL  BILLING AND CODING
revised - it now includes fluoroscopy code - the 77003. This means, you will see your fluoro code
(77003) getting denied in 2011!


64479 Injection(s), anesthetic agent and/or steroid, transforaminal epidural;
with imaging
guidance (fluoroscopy or CT)
, cervical or thoracic, single level


+64480 -cervical or thoracic, each additional level (list separately as add-on code for primary
procedure)


64483 Injection(s), anesthetic agent and/or steroid, transforaminal epidural;
with imaging
guidance (fluoroscopy or CT),
lumbar or sacral, single level


+64484 -lumbar or sacral, each additional level (list separately as add-on code for primary
procedure)


And for your transforaminal epidural injection using ultrasound guidance, you will use the
Category 3 code - 0228T-0231T.


0228T – Injection(s), anesthetic agent and/or steroid, transforaminal epidural,
with ultrasound
guidance,
cervical or thoracic; single level

+0229 -each additional level (as add-on code)

0230T – Injection(s), anesthetic agent and/or steroid, transforaminal epidural,
with ultrasound
guidance,
lumbar or sacral; single level.

+0231 -each additional level (as add-on code)


So as you can see, with the Category III codes, you will no longer code the Transforaminal Codes
(64479, +64480, 64483, +64484) separately and then code for the ultrasound guidance.


Reference: Current Procedural Code for 2011, CPT Changes for 2011.


"CPT is owned by the American Medical Association."


What about if the Transforaminal Injection was performed
without imaging? How do you Bill and Code for such
service?
Please read here from my website.