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Aug 22, 2013 . A piriformis muscle injection should be performed with fluoroscopic (x-ray) or ultrasound needle guidance. CPT codes : non-spinal”; Remember to bill for the injectables (contrast, steroid ) if done in an office procedure room . Tests that are an extension of the physical exam, allowing for objective evaluation of the central and peripheral nervous systems, neuromuscular junctions, and muscles. Spine-health's video library offers a full range of in-depth videos on back pain and neck pain that are reviewed and approved by members of Spine-health’s Medical. By Chris Faubel, . -- This is a step-by-step explanation of how to perform a piriformis muscle injection with fluoroscopy. Images included. A list of the most common CPT codes for a PM&R and interventional pain management clinic. Injection codes, other pain management procedures, and EMG/NCS codes are.