CPT^® 64636, Under Destruction by Neurolytic Agent (eg, Chemical, Thermal, Electrical or Radiofrequency) Procedures on the Somatic Nerves

The Current Procedural Terminology (CPT^®) code 64636 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 lumbar or sacral 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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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 ]

RFA 3rd level 64636-59

My physiatrist performed a BIL RFA for 3 levels...all requirement are met and documentation is there. Charges got denied, I did research and this is what I found. LCA A58777 L38841 Frequency: One to... [ Read More ]

Medicare denial 64635 but payment allowed for 64636 64635 64636 destruction medicare pain rfa

I'm scratching my head on this one. We have two instances were Medicare has denied CPT 64635 Destruction RFA due to "information submitted does not support this many/frequency of services". However, f... [ Read More ]

Help with paravertebral jt injections 64635

Correct, if your provider is targeting 3 joints. I don't see where he is targeting. He is targeting 2 on his documentation. So it would only be the 2 levels you code for. In mine, it would look like... [ Read More ]

Help with paravertebral jt injections 64635

Sorry,I think I am confused by the joints. I am using your example for learning because your documentation is better than the one I have. If I code yours correctly, I will be able to apply that to ot... [ Read More ]

Help with paravertebral jt injections 64635

If it is Medicare, you would bill the first line 64635-RT (I don't see that it was bilateral, it if is, then yes, add the 50), and 64636-50. Medicare does not want additional units. Only 1 unit per l... [ Read More ]

Help with paravertebral jt injections 64635

[QUOTE="bdcoyne8, post: 503344, member: 209601"] Hello! I work for a pain and spine specialist and we are constantly billing out MBBs with RFAs. I read this as L4-5 64635-RT and L5-S1 64636-50. I d... [ Read More ]

Help with paravertebral jt injections 64635

Hello! I work for a pain and spine specialist and we are constantly billing out MBBs with RFAs. I read this as L4-5 64635-RT and L5-S1 64636-50. I do not see the documentation that the L4-5 was do... [ Read More ]

Help with paravertebral jt injections 64635

Hi ,New to Ortho coding, Can you please help with codes.? "The right lumbar area was prepped with betadine times three and draped in the usual sterile fashion. The L4/5 vertebral body was identified... [ 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 ]

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