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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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How to properly code the radio frequency ablation when
performed on L5, S1, S2 and S3 nerves.

This confusion has come to an end.

The June 2012 CPT assistant (a coding newsletter
published monthly by the American Medical Association)
made an answer from its Frequently Asked Questions.

It said there;

"When performing individually separate nerve destruction,
each peripheral nerve root neurolytic block is reported as
destruction of a peripheral nerve, using code 64640,
Destruction by neurolytic agent; other peripheral nerve or
branch. In this instance, for peripheral nerve root neurolytic
blocks (destruction) of L5, S1, S2 and S3, code 64640
should be reported four times. The coder should append
modifier 59, Distinct Procedural Service, to the second and
subsequent listings of code 64640 to separately identify
these procecedures".

This comment from the AMA's FAQ gave us a clear answer
on how to properly code for Peripheral Neurolytic Nerve
Destruction or for your Radio Frequency Ablation when
performed on L5, S1, S2, and S3 nerves.

reference: CPT Assistant June 2012

I hope this information would be helpful to your practice.

Related Topic: Effective January 01, 2012 -
Facet Nerve
RF Ablation/Rhizotomy  64622, 64623, 64626, 64627 has
been DELETED! New Codes are: 64633, 64634, 64635,
64636


CPT IS OWNED, MAINTAINED AND IS A REGISTERED TRADEMARK
OF THE AMERICAN MEDICAL ASSOCIATION


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