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When the physician performs the procedure as a block of the sciatic nerve then 64445 is appropriate. When the physician documents injection into the piriformis without mention of the sciatic nerve then 20999 would be most appropriate. Different payers may have different instructions. For example, Noridian Medicare prefers 64999 for when the injection into the piriformis without mention of the sciatic nerve is performed.

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Q: What cpt codes are used for piriformis injection?
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