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Neurology & Pain Management Coding Alert

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Choosing 64650 or 64999 for Coccygeal RFA

Published on Tue Feb 23, 2016

Question: My physician is planning to do RFA (radiofrequency ablation) of the coccyx. It will be a non-pulsed procedure into the coccyx disc. I’m leaning toward coding this as 64999 instead of 64650. What do you recommend? Nebraska Subscriber Answer: The sacrococcygeal disc is a thin plate of fibrocartilage interposed between the sacrum and coccyx. The ganglion impar is anterior to this. [...]
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