64493 Injection paravert f jnt l/s 1 lev
Also known as: lumbar facet joint injection, sacral facet injection, lumbar zygapophysial joint injection, facet joint injection lumbar, lumbar facet block
Injection of anesthetic and/or steroid medication into the facet joint area in the lumbosacral region at a single spinal level.
In Plain Language
lower back joint pain injection; lumbar facet pain relief
Clinical Context
Used for lumbar facet syndrome, facet osteoarthritis, and mechanical low back pain. Common treatment for chronic back pain.
RVU Breakdown
| Work RVU | 1.48 |
| Total RVU | 1.48 |
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 1.48, this code ranks in the 9th percentile among Surgery codes — 5.4x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 64493?
CPT 64493 (Injection paravert f jnt l/s 1 lev) is a Surgery code. Injection of anesthetic and/or steroid medication into the facet joint area in the lumbosacral region at a single spinal level.
What is the wRVU value for CPT 64493?
The work RVU for CPT 64493 is 1.48. This code is primarily used by Pain Management, Physiatry, Anesthesiology.
When is CPT 64493 used?
Used for lumbar facet syndrome, facet osteoarthritis, and mechanical low back pain. Common treatment for chronic back pain.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against national data — all in one app.
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.