rfa

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    Wiki Medicare denial 64635 but payment allowed for 64636

    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, for these same claims they have paid the add on code of 64636. I simply do not understand this, I...
  2. C

    Wiki RFA code for Greater trochanter nerves

    Hello, Dr. notes procedure as Right RFA of "Peripheral Nerve sensory supply to the greater trochanter." Can someone please help confirm correct CPT coding is 64640 (other peripheral nerve or branch) thank you!
  3. L

    Wiki Diagnostic Medial Branch Block - how long good for?

    I have a patient who had diagnostic medial branch blocks in June of 2018, with 80-85% improvement, followed up by the RFA a few months later. It has been 18 months since they had their last injection. Do they need to repeat the diagnostic blocks again or can we repeat the therapeutic RFA...
  4. C

    Wiki Rhizotomy or neurotomy documentation

    Hello, So I know a rhizotomies and neurotomies are basically RFAs, so we would use cpt codes 64633-64636. However, are the the documentation requirements the same? Meaning do we need temp and duration documented in the op notes for a rhizotomy or neurotomy?
    • calatv
    • Thread
    • documentation neurotomy radiofrequency ablation rfa rhizotomy
    • Replies: 1
    • Forum: Anesthesia
  5. C

    Wiki 64640 vs 64999 for a saphenous nerve rfa

    Hi, Our provider performed a left saphenous nerve radiofrequency ablation. However, in his op notes, he states the radiofrequency was performed for 60 seconds at 60 degrees Celsius. I know CPT guidelines state the following: "Do not report 64633, 64634, 64635, 64636 for non-thermal facet joint...
    • calatv
    • Thread
    • 64640 64999 radiofrequency ablation rfa saphenous nerve
    • Replies: 1
    • Forum: Anesthesia
  6. P

    Wiki Fluoro for Genicular RF (77002 and 64640)

    Hey all! We've been told that 77002 in 2017 is an add-on code that does not work with 64640 (genicular RF). How are others billing the imaging component for genicular radiofrequency ablations since imaging is still not bundled in with 64640? Thanks! Rose
  7. M

    Wiki Left Greater Trochanter RFA Question

    Hello, I was wondering if you can help me with this one. The patient had a left greater trochanter RFA. Lesioning was performed in 4 quadrants by repositioning the needle in the 12, 6,9 and 3 o'clock positions. Would this be 64640 x 1 or 64640 x 4? Thank you! Melissa Harris, CPC The Albany...
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