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Interventional Pain Management Somatic Nerve Injections What you need to know: Imaging Guidance is now included in the codes below Do not bill separately for imaging guidance as of 1/1/23 Describe the imaging modality guidance that was used, as well as the injection site Note the changes in Work RVUs (wRVUs) and how this may affect reimbursement New Paravertebral Facet Joint Injections Coding/Billing Instructions What you need to know: CPT has provided a new chart and billing instructions for modifier 50 on codes 64490 -64495

The authors hypothesized that this was due to trimetazidine affecting the brain tissue cell metabolism, and potentially transporting serotonin from brain tissue into the peripheral nervous system