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64483

Lumbar or Sacral Transforaminal Epidural Injection

Code Description

CPT code 64483 is used to report a transforaminal epidural injection at a single lumbar or sacral level. Medication is injected into the epidural space through the neural foramen to reduce inflammation and relieve nerve root pain.

The procedure is commonly performed using fluoroscopic guidance for accurate needle placement.

When to Use 64483

Common examples include:

  • lumbar radiculopathy

  • sciatica

  • herniated lumbar disc

  • spinal stenosis

  • chronic lower back pain

Documentation Requirements

Documentation should include:

  • spinal level treated

  • medication administered

  • imaging guidance

  • patient tolerance

  • procedural findings

Common Billing Mistakes

Common billing mistakes include:

  • incorrect spinal level reporting

  • missing imaging documentation

  • insufficient procedural notes

  • reporting incorrect injection codes

  • failure to document medical necessity

Related CPT Codes
64484

Each Additional Lumbar or Sacral Level

62323

Lumbar Epidural Injection

64479

Cervical or Thoracic Transforaminal Epidural Injection

FAQ
What is a transforaminal epidural injection?

It is an injection that delivers medication near an irritated spinal nerve through the neural foramen.

Is imaging guidance commonly used?

Yes. Fluoroscopy is typically used to guide needle placement.

What conditions are commonly treated?

Lumbar radiculopathy, sciatica, and spinal stenosis are common indications.

Does CPT 64483 include multiple spinal levels?

No. CPT 64483 reports one lumbar or sacral level. Additional levels are reported separately when appropriate.

Procedure Type

Epidural Injection

Body Area

Technique

Lumbar or Sacral Spine

Transforaminal Injection