Code RFs per nerve
Per nerve is correct - see below. Some of the codes mentioned in the article below have changed - 76005 is now 77003 - 64470 thru 64476 are now 64490 thru 64495
CPT Asst - The Facets of Paravertebral Facet Joint Procedures (64470-64476, 64622-64627) (September 2004)
The destruction by neurolytic agent (eg, chemical, thermal, electrical, radiofrequency) codes (64622-64627) refers to paravertebral facet joint nerve destruction at the cervical, thoracic, lumbar, or sacral region(s). Codes 64622-64627 are unilateral. Therefore, if neurolytic destruction of the paravertebral facet joint nerve is performed at both the right and left sides, then modifier 50 should be appended to the appropriate code to indicate that bilateral procedures were performed. Also, if fluoroscopic guidance and localization for needle placement and neurolysis is performed in conjunction with codes 64622- 64627, then code 76005 should be reported separately in addition to codes 64622-64627. Unlike facet joint nerve (medial branch) codes used to describe facet joint injection (64470-64476), facet nerve destruction codes 64622-64627 refer to individual nerve level destruction. Thus, although injection of the left L3 and L4 medial (facet joint) nerve would be code as 64475, destruction of the L3 and L4 medial branch nerves would be coded as 64622 and 64623.
