Need help choosing the right code?
Ask CasePilot about procedures, modifiers, bundling, and coding guidance.
Try CasePilot© Copyright 2026 American Medical Association. All rights reserved.
The procedure described by CPT® Code 64475 involves the injection of an anesthetic agent and/or steroid into the paravertebral facet joint or the facet joint nerve located in the lumbar or sacral region of the spine. This procedure is typically performed to alleviate pain or reduce inflammation in the lower back, which can be caused by various conditions affecting the spine. The facet joints are small joints located between the vertebrae, and they play a crucial role in providing stability and facilitating movement in the spine. By injecting medication directly into these joints, the physician aims to provide targeted relief from pain, which may be due to arthritis, injury, or other degenerative conditions. It is important to note that if additional joints require injection, CPT® Code 64476 should be used for each subsequent joint treated, ensuring accurate coding and billing for the services rendered.
© Copyright 2026 Coding Ahead. All rights reserved.
The injection of an anesthetic agent and/or steroid into the paravertebral facet joint or facet joint nerve is indicated for various conditions that cause pain or inflammation in the lumbar or sacral regions. These indications may include:
The procedure for administering an injection into the paravertebral facet joint or facet joint nerve involves several key steps:
Following the injection, patients may experience immediate relief from pain, although it can take several days for the full effects of the steroid to manifest. It is common for patients to be advised to rest and avoid strenuous activities for a short period after the procedure. Additionally, some patients may be instructed to apply ice to the injection site to reduce swelling and discomfort. Follow-up appointments may be scheduled to assess the effectiveness of the injection and to determine if further treatment is necessary. It is important for patients to report any unusual symptoms or side effects to their healthcare provider promptly.
| Short Descr | INJ PARAVERTEBRAL L/S | Medium Descr | INJ PARAVERTEBRAL L/S | Long Descr | NJX ANES&/STRD JT NRV LMBR/SAC 1 LVL | APC Status Indicator | Significant Procedure, Multiple Reduction Applies | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | none | MUE | Not applicable/unspecified. | CCS Clinical Classification | 5 - Insertion of catheter or spinal stimulator and injection into spinal canal |
Get instant expert-level medical coding assistance.