For RFA – Radiofrequency Ablation ( 64633 – 64636 ), do I need to code Local anesthesia seperately?

and for joint and bursa injection – 20610 , 20605 do I code local anesthesia seperately , 3 ml of 1% Lidocaine. ?? And Provider uses fluroscopy so do I code
for ex : left shoulder joint injection – 12 mg betamethasone
20610 – LT
77002 – 59
J0702 x 4
(What about Anesthesia)