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Per CMS Billing and Coding Article A56681 and Medicare LCD coverage criteria, the primary ICD-10-CM codes supporting medical necessity for CPT 64483 include M54.16 (radiculopathy, lumbar region), M54.17 (radiculopathy, lumbosacral), M48.061 (spinal stenosis, lumbar with neurogenic claudication), M47.816 (spondylosis with radiculopathy, lumbar), and M51.16 (intervertebral disc degeneration, lumbar)

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doi: 10.1186/1478-811X-9-18 70 KleinCA

While some users report enhanced local effects, the evidence for superiority over subcutaneous administration remains unclear, and complications including nerve irritation present greater concern