Pain Management Billing Services · 2026

Facet, Medial Branch, and Fluoroscopy: What 2026 Bundles and What It Does Not

If you bill paravertebral facet and medial branch injections, the single biggest denial driver is guidance you already got paid for. Here is the clean line.

The short answer: Under CPT 2026, fluoroscopic or CT guidance is built into the facet and medial branch injection codes 64490 to 64495 and the neurolysis codes 64633 to 64636. You cannot add 77003 or 77012 next to them. What still earns more is anatomy: additional levels through the add-on codes, and the second side where your payer allows it.
Guidance = inherent Levels = add-on units Laterality = payer-gated Frequency = LCD-capped

The stack, visualized

One code. Three layers. You bill the base only.

The 2026 descriptor already fuses the injection, the imaging guidance, and the contrast localization into a single unit of service. Picture it as a stack where only the bottom card leaves the building on the claim.

Base · billable 64490 / 64493 Paravertebral facet or medial branch injection, single level
Fused in · not separate Fluoroscopy / CT Image guidance is written into the code descriptor
DO NOT BILL AGAIN Fused in · not separate Contrast + localization Needle placement imaging travels inside the unit

Report the base injection code and stop. Appending 77003 or 77012 for the same session is the classic unbundling denial, and it flags the whole claim for review.

The line that matters

What is baked in, and what still pays

Same session, two very different lists. The left side is money you already captured inside the injection code. The right side is where documentation legitimately unlocks additional units.

Baked in · do not bill separately

Bundled into the injection

  • 77003 fluoroscopic guidance for the same facet or medial branch injection
  • 77012 CT guidance for the same injection
  • Contrast injection and its supervision and interpretation for needle localization
  • Ultrasound guidance is not valid with the 64490 family. Ultrasound-guided facet work has its own Category III codes, so you do not stack it on top
Legitimate additional units

What still unlocks more

  • Each additional spinal level through the add-on codes 64491 64492 64494 64495
  • Additional facet joints treated by neurolysis with 64634 and 64636
  • The contralateral side at a level, reported per your payer's bilateral rule with modifier 50 or LT and RT, subject to the MUE cap
  • A separately identifiable evaluation and management service the same day with modifier 25, when the record supports it

The 2026 code families

Three families, one guidance rule

Injection, neurolysis, and the ultrasound alternative. Notice the pattern: whenever fluoroscopy or CT is named in the descriptor, guidance is included and never separate.

64490 – 64492
Cervical / thoracic facet injection
Single level, then add-on second level and third-plus level, with fluoroscopy or CT.
GUIDANCE INCLUDED
64493 – 64495
Lumbar / sacral facet injection
Single level, then add-on second and third-plus levels, with fluoroscopy or CT.
GUIDANCE INCLUDED
64633 – 64636
Facet nerve neurolysis (RFA)
Destruction of paravertebral facet joint nerves, cervical/thoracic and lumbar/sacral, first joint plus each additional.
GUIDANCE INCLUDED
64491 / 64494
Second level, add-on
Reported once per session in addition to the primary level code. This is where the second documented level earns its unit.
ADD-ON · PER LEVEL
64492 / 64495
Third level and beyond, add-on
Reported once per day regardless of how many further levels are injected, per the CPT parenthetical.
ADD-ON · ONCE / DAY
0213T – 0218T
Ultrasound-guided facet injection
Category III set used when guidance is ultrasound rather than fluoroscopy or CT. Do not pair with the 64490 family.
SEPARATE PATHWAY

Frequency, not just coding

The LCD caps you have to respect

Correct guidance handling gets the claim clean. The Medicare facet joint LCD decides how often it pays. The structure below mirrors LCD L38773, Facet Joint Interventions for Pain Management, and its companion Billing and Coding article. Confirm the exact counts in your own MAC's current article, since the numbers are the part payers update.

2
Diagnostic blocks per region
The LCD structure allows a limited set of diagnostic medial branch blocks to qualify a patient before radiofrequency, not open-ended repeats.
2
Levels per session
Sessions are capped to a small number of levels per region. Beyond that, the add-on units stop being covered even when documented.
≥50%
Relief to repeat RFA
Repeat neurolysis generally requires a documented meaningful duration of relief from the prior procedure before the next is covered.

Why the denial fires

The NCCI edit in one path

The National Correct Coding Initiative pairs the guidance codes against the injection codes as a procedure-to-procedure edit. Here is what happens when a fluoroscopy line rides along.

Line submitted
64493 + 77003
Lumbar facet injection billed with separate fluoroscopy
NCCI PTP edit
Column 2 hit
Guidance is bundled into the primary injection service
Result
77003 denied
No bypass modifier is appropriate here. The guidance was never separately payable

The fix is not a modifier. The fix is not billing the guidance line at all. A modifier that forces a bundled code through is a false claim exposure, not a coding shortcut.

Before the claim goes out

Three checks that stop the rework

Run these on every facet and medial branch encounter and you close the gap between what was done and what actually pays.

01

Strip the guidance line

If the modality was fluoroscopy or CT, no 77003 or 77012 belongs on the claim. If it was ultrasound, you are in the 0213T to 0218T set instead.

02

Count the levels, then the side

Map documented levels to the primary plus add-on codes, then apply the bilateral rule only where the payer and the MUE allow the second side.

03

Test against the LCD clock

Confirm the diagnostic-then-therapeutic sequence, the per-session level cap, and the relief threshold before repeat neurolysis against your MAC's current article.

Your fluoroscopy denials are a workflow problem, not a coding mystery

ASP-RCM Solutions runs pain management billing where these rules live inside the scrubber, not in a coder's memory. Guidance bundling, level-and-laterality logic, and the facet LCD frequency clock are checked before the claim leaves, so the second-side and second-level units you earned actually land, and the unbundled lines never fire a review.

Talk to our pain management billing team

References cited: CPT 2026 code set, paravertebral facet joint and medial branch injection codes 64490–64495 and facet nerve neurolysis codes 64633–64636, including the image-guidance language in the descriptors and the ultrasound-guided Category III codes 0213T–0218T · CMS National Correct Coding Initiative (NCCI) Policy Manual and procedure-to-procedure edits pairing imaging guidance (77003, 77012) with the facet injection and neurolysis codes · CMS Medicare Physician Fee Schedule Final Rule for 2026 · Medicare Local Coverage Determination L38773, Facet Joint Interventions for Pain Management, and the associated Billing and Coding article. Frequency figures shown reflect the LCD structure and should be verified against your Medicare Administrative Contractor's current article. This page is educational and not a substitute for payer-specific policy verification.