February 15, 2018

Question:
How is a bilateral L4-L5 transforaminal epidural injected coded?

Answer:
You would report 64483-50 (Injection(s), anesthetic agent and/or steroid, transforaminal epidural, with imaging guidance (fluoroscopy or CT); lumbar or sacral, single level). Some payors want you to report the service as 64483-single level 1 side and 64483-50-for the other side or RT and LT. It is important to check with your payor as to how they want the injection reported bilaterally.

*This response is based on the best information available as of 02/15/18.