Spine injections0-day global

Lumbar medial branch block

Diagnostic block of the lumbar medial branch nerves to confirm facet-mediated pain, typically before radiofrequency ablation. Billed per level: one primary code for the first level and add-on codes for the second and third; image guidance is included. Commonly performed bilaterally.

2026 national Medicare payment (typical billing): $385.12 in-office · $170.35 facility · 3.44 work RVUs

Price this procedure

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Show values as

Line	Qty	Non-facility (office)	Facility (hospital/ASC)
64493Inj paravert f jnt l/s 1 lev	1	$190.39	$81.50
add-on64494Inj paravert f jnt l/s 2 lev	1	$95.86	$43.76
add-on64495Inj paravert f jnt l/s 3 lev	1	$98.87	$45.09
Whole procedure		$385.12	$170.35

Conversion factor: Locality: national average GPCIs

Codes in this procedure

64493 Inj paravert f jnt l/s 1 lev — Active, 0-day global, 1.48 wRVU
64494 Inj paravert f jnt l/s 2 lev — Active, add-on code, 0.98 wRVU
64495 Inj paravert f jnt l/s 3 lev — Active, add-on code, 0.98 wRVU

Related procedures

Typical code combination for this procedure; actual billing depends on documentation and payer policy. Source: pfs.data.cms.gov "Indicators for 2026", retrieved 2026-07-16; conversion factors $33.4009 / $33.5675 (QP) per CMS-1832-F. Estimates — not billing or coding advice.