CPT^® 64633, Under Destruction by Neurolytic Agent (eg, Chemical, Thermal, Electrical or Radiofrequency) Procedures on the Somatic Nerves

The Current Procedural Terminology (CPT^®) code 64633 as maintained by American Medical Association, is a medical procedural code under the range - Destruction by Neurolytic Agent (eg, Chemical, Thermal, Electrical or Radiofrequency) Procedures on the Somatic Nerves.

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Summary

In this procedure, the provider destroys the facet joint nerve of a cervical or thoracic spinal segment using neurolytic agents like heat, electric current, or a chemical compound. He makes use of imaging guidance, either fluoroscopy or CT scan. He performs the injection on a single facet joint.

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KX modifier

Can someone explain the KX modifier for injections? Seems Medicare wants a KX modifier appended for all diagnostic injections (CPT 64633-64636 & 64490-64495) How does a hospital coder know if it is ... [ Read More ]

Pain Management anesthesia cross walk codes

Below is what I am also using: MBB range 64490 - 64493 01937 or 01938 RFA range 64633 - 64635 01939 or 01940 TFESI 64479 - 64483 -01937 or 01938 depending on region ESI will be 01937 or 01938 From A... [ Read More ]

Pain Management anesthesia cross walk codes anesthesia crosswalk esi crosswalk mbb crosswalk rfa crosswalk

Hello, I do not have my new CPT books yet and I was wondering if these are the anesthesia cross walk codes you are using in 2022 for : MBB range 64490 - 64493 01937 or 01938 RFA range 64633 - 64635 01... [ Read More ]

Where would Nerve blocks fall for MDM, Low or minimal?

We have discrepancy in audits and what level Nerve blocks for pain management would fall. One team says this fall under the lowest MDM (minimal) no matter what- but the other team states it depends on... [ Read More ]

2022 New Spine Anesthesia Codes

Looks like from 2022 proposed rule for physician fee schedule new anesthesia codes for procedures like 10160 for seroma drainage and 64633-64636 RFA Facet nerves 01XX2 Anesthesia for percutaneous ima... [ Read More ]

Endoscopic Rhizotomy compare to code

Per the AAOS and AMA, there are no codes that describe when the mechanical destruction is performed during an open spinal procedure. The unlisted code, CPT [URL='http://www.findacode.com/code.php?set=... [ Read More ]

Billing radio frequency ablation

Hi, how would you bill a radio frequency ablation for T12-L1 level and L1-L2 on the same day. Per LCD guidelines T12-L1 is codded as 64633. Would you use 64635 CPT code for L1-L2 level??? Can you bil... [ Read More ]

Radiofrequency Question (64633-64634)

[QUOTE="trarut, post: 493707, member: 7736"] 64634 is not limited to 1 unit (it actually has an MUE of 4) but does have an instruction regarding the use of modifier 50. Copy/paste from Codify: [HEAD... [ Read More ]

Radiofrequency Question (64633-64634)

64634 is not limited to 1 unit (it actually has an MUE of 4) but does have an instruction regarding the use of modifier 50. Copy/paste from Codify: [HEADING=2]CPT® Code [B]64634[/B][/HEADING] Destr... [ Read More ]

Radiofrequency Question (64633-64634) 64633 coding help radiofrequency radiofrequency ablation

(T7, T8, T9, and T10) Doc wants us to bill 64633-50 x 1 unit & 64634-50 x 2 units. My understanding is that only 1 unit can be billed per these CPT's. Should this be billed out on three separate lin... [ Read More ]

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