# CPT 64494

> Medicare paid $91.31 for CPT 64494 in the office (non-facility) setting and $53.77 in a facility under the Q2 2020 Physician Fee Schedule, effective April 2020. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2020, when it increased 1.7%.

## What it is

The second facet joint level injected in the lumbar or sacral spine during the same session, again with imaging guidance. Facet pain rarely sits at a single segment, so physicians commonly treat two or three neighbouring levels in one visit; this entry covers the second of them. The technique is identical to the first-level injection - only the spinal segment differs.

## Selected release

- Release: Q2 2020 (2020 B)
- Effective: April 1 – June 30, 2020
- Status indicator: A
- Office (non-facility) national allowed amount: $91.31
- Facility national allowed amount: $53.77
- Sequestration: not applied

## RVUs and formula

- Work RVU: 1.00
- Office (non-facility) practice expense RVU: 1.44
- Facility practice expense RVU: 0.40
- Malpractice RVU: 0.09
- Conversion factor: 36.0896
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q2 2020)
- CMS file: https://www.cms.gov/files/zip/rvu20b-updated-05012020.zip
- Parsed file: PPRRVU20_APR.csv, row 11,465
- Canonical page: https://localishealth.com/cpt/64494/2020/A
- Release-specific citation URL: https://localishealth.com/cpt/64494/2020/B
- Last significant update: 2026-08-04T03:09:33+00:00