CPT^® 64634, Under Destruction by Neurolytic Agent (eg, Chemical, Thermal, Electrical or Radiofrequency) Procedures on the Somatic Nerves

The Current Procedural Terminology (CPT^®) code 64634 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 add on 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 injects the additional facet joint level, after the initial, separately reportable single facet joint neurolytic injection.

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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 ]

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 ]

facet injections 64494 64634

Hello I just have a question in regards to new updates to LCD on Facet RFA and MMB injections [B][U]Max levels of 2 unilateral or bilaterally for MBB, Facet, RFA’s one to two levels either unilat... [ Read More ]

64625 How to bill?

[QUOTE="afaustina1, post: 492462, member: 444082"] Hi, you are correct that 64635 and 64625 cannot be billed together. I do use modifier 59 for RF of facet joints to indicate additional or separate a... [ Read More ]

64625 How to bill?

[QUOTE="nyckimmie, post: 477796, member: 103486"] Hi, I too am wondering about adding mod 59 to 64635. a different area would fit the criteria for mod 59 but any coding advice I come across (as well a... [ Read More ]

TTL for Capitation and fee for service

I'm running a report for 99214 because that's the code we use a lot here. We are pain management, I think maybe I can run 64483, 64484, 64493, 64494, 62321, 64633, 64634, 64635?... [ Read More ]

Add on codes with BCBS

Does anybody know if BCBS pays add on codes in ASC, such as 64494, 64634, 64636? I was told to not bill add on codes in ASC because they are bundled with the primary CPT? However I was also told it d... [ Read More ]

Cervical/Lumbar Radiofrequency Ablation

Hi everyone! We are an outpatient surgery center and usually when we bill a three level bilateral cervical/lumbar radiofrequency ablation procedure it would look something like this (example): 6463... [ Read More ]

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