Does code 64451 include CT guidance?
Yes, this code includes fluoroscopic and CT guidance. Do not report code 64451 with codes 64493, 64494, or 64495. When performed bilaterally assign modifier -50 to code 64451. Use this code for a block, not a destruction Do not report with codes +95873 (Electrical stimulation for guidance in conjunction with chemodenervation) or +95874 (needle electromyography for guidance in conjunction with chemodenervation).
|64451||Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)|
This question was answered in our annual CT/MR Coding: Best Practices and Avoiding Common Mistakes webcast. For more hot topics relating to radiology services, please visit our store or call us at 1.800.252.1578, ext. 2.