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| Providing free resources and useful informations for Physicians, Office Managers, Medical Billers and Medical Coders |
| Facet Joint Nerve Destruction |
|
Facet Nerve RF Ablation/Rhizotomy: 64622, 64623, 64626,
64627 has been DELETED!
64622 Destruction by neurolytic agent, paravertebral facet joint nerve; lumbar or
sacral, single level
64623 Destruction by neurolytic agent, paravertebral facet joint nerve; lumbar or
sacral, each additional level (List separately in addition to code for primary
procedure)
64626 Destruction by neurolytic agent, paravertebral facet joint nerve; cervical or
thoracic, single level
64627 Destruction by neurolytic agent, paravertebral facet joint nerve; cervical or
thoracic, each additional level (List separately in addition to code for primary
procedure)
Your New Codes effective January 01, 2012 are:
64633 Destruction by neurolytic agent, paravertebral facet joint nerve (s)
with imaging guidance (fluoroscopy or CT); cervical or thoracic; single facet joint
+64634 cervical or thoracic, each additional facet joint (List separately in
addition to code for primary procedure)
64635 Destruction by neurolytic agent, paravertebral facet joint nerve (s)
with imaging guidance (fluoroscopy or CT); lumbar or sacral; single facet joint
+64636 lumbar or sacral, each additional facet joint (List separately in addition
to code for primary procedure)
Pointers on HOW to PROPERLY USE THESE CODES:
1. These codes are no longer billable at a service unit(s) on a per single nerve at a
single vertebral level;
2. You have to remember that there are 2 spinal nerves that inervates each single
facet joint;
3. Anatomically, there are 2 facet joints (left and right) on each vertebral level;
4. These codes are billable per facet joint; which means, if 2 facet joints were
treated on the same vertebral level, then you will report the primary code with a
modifier -50 to indicate a bilateral procedure;
Here are your number of pairs for your Spinal Nerves: There's a total of 31 pairs.
Cervical 8 pair
Thoracic 12 pair
Lumbar 5 pair
Sacral 5 pair
Coccyx 1 pair
Also note that imaging guidance is inclusive and that per CPT guideline, fluoro or
CT (imaging guidance) is required for the performance of these procedures.
Otherwise, we are being further instructed that if imaging guidance (Fluoro or CT)
is not used, it is appropriate to use the unlisted procedure code 64499
(Nervous System).
Read Related Topic: How to properly code the radio frequency ablation when performed on
L5, S1, S2 and S3 nerves. This confusion has come to an end.
64627 has been DELETED!
64622 Destruction by neurolytic agent, paravertebral facet joint nerve; lumbar or
sacral, single level
64623 Destruction by neurolytic agent, paravertebral facet joint nerve; lumbar or
sacral, each additional level (List separately in addition to code for primary
procedure)
64626 Destruction by neurolytic agent, paravertebral facet joint nerve; cervical or
thoracic, single level
64627 Destruction by neurolytic agent, paravertebral facet joint nerve; cervical or
thoracic, each additional level (List separately in addition to code for primary
procedure)
Your New Codes effective January 01, 2012 are:
64633 Destruction by neurolytic agent, paravertebral facet joint nerve (s)
with imaging guidance (fluoroscopy or CT); cervical or thoracic; single facet joint
+64634 cervical or thoracic, each additional facet joint (List separately in
addition to code for primary procedure)
64635 Destruction by neurolytic agent, paravertebral facet joint nerve (s)
with imaging guidance (fluoroscopy or CT); lumbar or sacral; single facet joint
+64636 lumbar or sacral, each additional facet joint (List separately in addition
to code for primary procedure)
Pointers on HOW to PROPERLY USE THESE CODES:
1. These codes are no longer billable at a service unit(s) on a per single nerve at a
single vertebral level;
2. You have to remember that there are 2 spinal nerves that inervates each single
facet joint;
3. Anatomically, there are 2 facet joints (left and right) on each vertebral level;
4. These codes are billable per facet joint; which means, if 2 facet joints were
treated on the same vertebral level, then you will report the primary code with a
modifier -50 to indicate a bilateral procedure;
Here are your number of pairs for your Spinal Nerves: There's a total of 31 pairs.
Cervical 8 pair
Thoracic 12 pair
Lumbar 5 pair
Sacral 5 pair
Coccyx 1 pair
Also note that imaging guidance is inclusive and that per CPT guideline, fluoro or
CT (imaging guidance) is required for the performance of these procedures.
Otherwise, we are being further instructed that if imaging guidance (Fluoro or CT)
is not used, it is appropriate to use the unlisted procedure code 64499
(Nervous System).
Read Related Topic: How to properly code the radio frequency ablation when performed on
L5, S1, S2 and S3 nerves. This confusion has come to an end.
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