# CPT 64494

> Medicare paid $93.86 for CPT 64494 in the office (non-facility) setting and $52.69 in a facility under the Q1 2021 Physician Fee Schedule, effective January 2021. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This is a 2.8% increase from the previous quarter.

## 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: Q1 2021 (2021 A)
- Effective: January 1 – March 31, 2021
- Status indicator: A
- Office (non-facility) national allowed amount: $93.86
- Facility national allowed amount: $52.69
- Sequestration: not applied

## RVUs and formula

- Work RVU: 1.00
- Office (non-facility) practice expense RVU: 1.59
- Facility practice expense RVU: 0.41
- Malpractice RVU: 0.10
- Conversion factor: 34.8931
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q1 2021)
- CMS file: https://www.cms.gov/files/zip/rvu21a-updated-01052021.zip
- Parsed file: PPRRVU21_JAN.csv, row 11,494
- Canonical page: https://localishealth.com/cpt/64494/2021/A
- Release-specific citation URL: https://localishealth.com/cpt/64494/2021/A
- Last significant update: 2026-08-04T03:10:16+00:00