Clinical Example: The patient has a herniated disc at the L4-L5 with scar tissue; compatible with an acute L5 radiculopathy. He undergoes a bilateral transforaminal epidural injection of an anesthetic agent and/or steroid at the L5-S1 level.
Correct CPT Codes: 64483-50
A transforaminal epidural spinal injection technique is a technically different approach from central epidural injection. Because the vertebral artery as well as the spinal cord is close to the nerve root, this procedural technique is more difficult than a central epidural injection.
Clinical Example: The pt's recent MRI shows acute radiculopathy at the L4 and L5. He undergoes a bilateral transforaminal epidural steriod injection at the L4-L5 and L5-S1 levels.
Correct CPT Codes: 64483-50 and 64484-50