64483 Njx aa and/or strd tfrm epi l/s 1
Also known as: lumbar transforaminal epidural injection, lumbosacral transforaminal epidural, selective nerve root injection lumbar, transforaminal epidural injection lumbar, lumbar TFESI
Nerve injection for anesthetic and/or steroid administration to the transforaminal epidural space in the lumbosacral region at a single level.
In Plain Language
lower back nerve space injection; lumbar transforaminal pain relief
Clinical Context
Used for lumbar radiculopathy, sciatica, and lower back pain from nerve root compression. Imaging guidance improves accuracy.
RVU Breakdown
| Work RVU | 1.85 |
| Total RVU | 1.85 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 1.85, this code ranks in the 12th percentile among Surgery codes — 4.3x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 64483?
CPT 64483 (Njx aa and/or strd tfrm epi l/s 1) is a Surgery code. Nerve injection for anesthetic and/or steroid administration to the transforaminal epidural space in the lumbosacral region at a single level.
What is the wRVU value for CPT 64483?
The work RVU for CPT 64483 is 1.85. This code is primarily used by Pain Management, Physiatry, Anesthesiology.
When is CPT 64483 used?
Used for lumbar radiculopathy, sciatica, and lower back pain from nerve root compression. Imaging guidance improves accuracy.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.