Radiology Question for the Week of June 15, 2020

Radiology Compliance Question of the Week


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.

CPT© copyright 2020 American Medical Association (AMA). All rights reserved.

Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

CPT is a registered trademark of the American Medical Association.