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For bilateral paravertebral facet injection of the T12-L1 and L1-L2 levels or nerves innervating that joint, use 64490 with modifier 50 once and 64494 twice

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10.3390/vaccines12091053 Vaccines 186 RoyalJ.SimpsonC.McCormickA.PhillipsA.HumeS.MortonJ.et al