Ask Dr. Z

Can we report code 64479 for the cervical selective nerve root injection when the injection was onto the nerve root sleeve? Should the epidural space drug distribution be documented?

"The needle was advanced into the inferior posterior aspect of the C6/7 neural foramen. 0.5 cc of Omnipaque dye was then injected, and spread of dye was demonstrated to be along the nerve root sleeve. 2 cc 0.25% bupivacaine was injected onto to nerve root sleeve."