CPT procedure code

64493 — Injection, paravertebral facet joint, lumbar/sacral, 1 level

Pain ManagementCPT

Medicare payment

$190.39

2026 Physician Fee Schedule · non-facility

Source: CMS Physician Fee Schedule (PPRRVU 2026). CMS fee schedules ↗ · PFS status indicator A

National amount before geographic adjustment. Your MAC's locality rate will differ.

Code definition

Code

64493

Code system

CPT (Current Procedural Terminology)

Description

Injection, paravertebral facet joint, lumbar/sacral, 1 level

Category

Pain Management

Short description sourced from CMS publicly available fee schedule data. Full CPT descriptions are copyright AMA. Not a substitute for the official CPT codebook.

Policy activity for CPT 64493

CLV Intelligence is tracking 8 policy changes that cite CPT 64493 between 2026-06-05 and 2026-07-10, drawn from 4 LCD/NCD coverage updates, 2 MAC LCD revisions and 2 proposed LCDs. The changes span Pain Management. 4 are flagged critical or high priority.

LCD/NCD coverage updates
4
MAC LCD revisions
2
proposed LCDs
2

Counts reflect the source documents CLV has matched to CPT 64493 to date; each links to the government publication that is authoritative. Monitored daily from CMS, the Federal Register, and Medicare Administrative Contractor publications.

Policy changes matched to 64493

Matched to this code by CLV analysis of each policy. The linked source document is authoritative.

LCD L38773: Facet Joint Interventions for Pain Management — CGS Administrators

Pain Management · LCD-L38773

Government source· CMS / MACverify ↗
High

Full analysis available with a CLV subscription.

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Proposed LCD DL33930: Facet Joint Interventions for Pain Management — First Coast

Pain Management · LCD-DL33930

Government source· CMS / MACverify ↗
High

Full analysis available with a CLV subscription.

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Proposed LCD DL34892: Facet Joint Interventions for Pain Management — Novitas

Pain Management · LCD-DL34892

Government source· CMS / MACverify ↗
High

Full analysis available with a CLV subscription.

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LCD L38841: Facet Joint Interventions for Pain Management — WPS

Pain Management · LCD-L38841

Government source· CMS / MACverify ↗
High

Full analysis available with a CLV subscription.

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LCD L38801: Facet Joint Interventions for Pain Management — Noridian

Pain Management · LCD-L38801

Government source· CMS / MACverify ↗
Routine

Full analysis available with a CLV subscription.

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LCD L38803: Facet Joint Interventions for Pain Management — Noridian

Pain Management · LCD-L38803

Government source· CMS / MACverify ↗
Routine

Full analysis available with a CLV subscription.

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LCD L38765: Facet Joint Interventions for Pain Management — Palmetto GBA

Pain Management · LCD-L38765

Government source· CMS / MACverify ↗
Routine

Full analysis available with a CLV subscription.

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LCD L35936: Facet Joint Interventions for Pain Management — NGS

Pain Management · LCD-L35936

Government source· CMS / MACverify ↗
Routine

Full analysis available with a CLV subscription.

View alert

Audit documentation

Building an audit file that includes CPT 64493?

The Tripwire Audit Pack exports 12 months of Pain Management policy-change history — every alert with a link to its government source document, as a formatted PDF for compliance distribution plus a machine-readable CSV. Delivered automatically after payment. No account, no call.

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