A 37-year-old has multilevel lumbar degenerative disc disease and is coming in for an epidural injection. Localizing the skin over the area of L5-S1, the physician uses the transforaminal approach. With fluoroscopic guidance, the spinal needle is inserted, and the patient experiences paresthesia in her left lower extremities. The anesthetic drug is injected into the epidural space.

Report the CPT® code(s): ______

The CPT® code for an anesthetic agent and/or steroid, transforaminal epidural injection with imaging guidance for a lumbar or sacral, single level procedure is 64483.

Explanation:

The CPT® code that you are asked to identify appears to be related to a medical procedure involving an epidural injection for the treatment of multilevel lumbar degenerative disc disease. In this case, the procedure involves the use of a transforaminal approach and fluoroscopic guidance. Considering this information, the most likely CPT® code to be used in this scenario could be 64483, which is the code for 'Injection(s), anesthetic agent and/or steroid, transforaminal epidural, with imaging guidance (fluoroscopy or CT); lumbar or sacral, single level'.

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