64491 Injection paravert f jnt c/t 2 lev
Also known as: cervical facet joint injection two levels, thoracic facet joint multi-level
Injection of anesthetic and/or steroid medication into the facet joint area in the cervical/thoracic region at two spinal levels.
In Plain Language
two levels neck/upper back joint pain injection
Clinical Context
Used when pain involves multiple cervical or thoracic facet joints. Covers broader spinal region.
RVU Breakdown
| Work RVU | 1.13 |
| Total RVU | 1.13 |
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 1.13, this code ranks in the 5th percentile among Surgery codes — 7.1x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 64491?
CPT 64491 (Injection paravert f jnt c/t 2 lev) is a Surgery code. Injection of anesthetic and/or steroid medication into the facet joint area in the cervical/thoracic region at two spinal levels.
What is the wRVU value for CPT 64491?
The work RVU for CPT 64491 is 1.13. This code is primarily used by Pain Management, Physiatry, Anesthesiology.
When is CPT 64491 used?
Used when pain involves multiple cervical or thoracic facet joints. Covers broader spinal region.
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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.