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transforaminal ESI as well as Sacral hiatus approach ESI

Date: Sep 29, 2021

Question:

Due old laminectomy changes at L5-S1 there is no posterior epidural space available for injection from an intralaminar approach. Therefore left L5-S1 transforaminal ESI as well as a sacral hiatus approach performed with separate needles and contrast injection followed by injection of dexamethasone with Marcaine.

Can we code 64483/64484? Or only 64483? Please advise.

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