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What is CPT Code 64483?

Transforaminal epidural steroid injection at the lumbar or sacral level, first level. A pain management procedure injecting corticosteroids into the epidural space through the foramen to treat nerve root compression, herniated disc pain, or spinal stenosis.

The Medicare reimbursement rate shown above is the amount the federal government has determined is a reasonable payment for this service. Hospitals and providers that participate in Medicare have agreed to accept these rates from Medicare patients.

Who typically bills this:Pain management specialist or interventional radiologist + fluoroscopy/facility fee

Common Billing Errors for CPT 64483

• !Fluoroscopic or CT guidance billed separately when imaging is required and bundled into the transforaminal injection code
• !64484 (additional level) billed without clear documentation of treatment at a distinct vertebral level
• !Bilateral injections billed at full rate for each side without a bilateral modifier or reduction

Red Flags on Your Bill

Negotiation Tips for CPT 64483

1. 1Imaging guidance (fluoroscopy) is mandatory for transforaminal ESIs and its cost is bundled into the procedure — do not pay for it twice
2. 2Series of injections (often 3 over several weeks) should be priced consistently — ask for the full series cost upfront
3. 3ASC facility fees for spinal injections are typically 50–70% less than hospital outpatient

Codes That Often Appear With This One

These CPT codes commonly appear on the same bill. Review each one to spot potential bundling errors or duplicate charges.

Found CPT 64483 on Your Bill?

If you see CPT code 64483 on a hospital or medical bill, compare the charged amount to the Medicare rate above. If your bill shows a significantly higher charge, you may have grounds to negotiate.

1. Note the amount charged for CPT 64483 on your itemized bill
2. Compare it to the Medicare rate above — calculate the markup
3. Call the billing department and use the Medicare rate as your anchor:“I see CPT code 64483 billed at [amount]. The Medicare rate for this procedure is $249.22. I'd like to discuss a fair adjustment.”