Question:

Does code 64451 include CT guidance?

Answer:

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)

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