64484 Njx aa and/or strd tfrm epi l/s each
Also known as: lumbar transforaminal epidural additional level, lumbosacral epidural multi-level
Nerve injection for anesthetic and/or steroid administration to the transforaminal epidural space in the lumbosacral region for each additional level beyond the first.
In Plain Language
additional lower back epidural injection; extra level lumbar pain relief
Clinical Context
Used when multiple lumbar levels require treatment. Each additional level may increase cost and medication volume.
RVU Breakdown
| Work RVU | 0.98 |
| Total RVU | 0.98 |
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. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 0.98, this code ranks in the 4th percentile among Surgery codes — 8.2x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 64484?
CPT 64484 (Njx aa and/or strd tfrm epi l/s each) is a Surgery code. Nerve injection for anesthetic and/or steroid administration to the transforaminal epidural space in the lumbosacral region for each additional level beyond the first.
What is the wRVU value for CPT 64484?
The work RVU for CPT 64484 is 0.98. This code is primarily used by Pain Management, Physiatry, Anesthesiology.
When is CPT 64484 used?
Used when multiple lumbar levels require treatment. Each additional level may increase cost and medication volume.
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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.