Questions and answers

Is 64635 an add-on code?

Is 64635 an add-on code?

Applicable codes: 64633, 64634, 64635, 64636 Use Add-on Code for additional levels is code 64634. Use code 64635 for the Destruction of Paravertebral Facet Joint Nerve(s) by neurolytic agent with Fluoro. or CT image guidance; Lumbar or Sacral, single facet joint for the 1st level performed.

Does 64635 need a modifier?

If initial bilateral paravertebral neurolytic destruction is performed, code 64633 or 64635, signify by appending the modifier -50. These services should be reported with CPT code 64999.

Can 64635 be billed bilaterally?

The CPT codes 64635-64636 have a bilateral surgery indicator of “1.” Thus, they are considered “unilateral” procedures and the 150% payment adjustment for bilateral procedures applies.

What is a lumbar RFA?

A lumbar RFA is a procedure that uses radio waves to stop the lumbar medial branch nerve from transmitting pain signals from the injured facet joint to the brain. The procedure calls for a needle to be inserted through the skin and guided with X-ray to the correct site overlying the medial branch nerve.

Does 64635 include fluoroscopy?

This is reflected in the term “nerve(s)” which is included in the code descriptors. 64635 Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint. +64636 …

How do you bill an epidural injection?

Whether a transforaminal epidural block is performed unilaterally or bilaterally at one vertebral level, use CPT code 64479 or 64483 for the first level injected. If a second level is injected unilaterally or bilaterally, use CPT code 64480 or 64484.

What is the difference between CPT 62321 and 64479?

When CPT codes 62321 or 62323 are used to report postoperative pain management, the diagnosis code restrictions in this article do not apply when reporting these codes with ICD-10 codes G89. CPT codes 64479 and 64483 are used to report a single level injection performed with image guidance (fluoroscopy or CT).

How do you code lumbar radiofrequency ablation?

CPT code 64999 is to be used for pulsed radiofrequency ablation.

What does code 95970 mean in CPT manual?

CPT manual instructions state that code 95970 describes only “subsequent” electronic analysis of “a previously implanted” generator. Code 95971 is defined for simple programming and code 95974 is defined for complex programming. Simple programming refers to changing three or fewer parameters.

What is the add on code for CPT 64636?

Use Add-on Code for additional levels is code 64636. Code Rhizotomy procedures from the Destruction by Neurolytic Agent codes. Added the following new 2012 CPT codes to the “Billing/Coding” section: 64633, 64634, 64635, and 64636. Deleted CPT codes: 64622, 64623, 64626, and 64627.

When to use CPT code 95870 or 95872?

E. CPT Code 95870 – 95872 95885-95887 (Needle electromyography, other than paraspinal) 1. CPT code 95870 is used for limited testing of specific muscles during an examination. This code should be used only when the muscles tested do not fit more appropriately under another CPT code.

When to use CPT code 95869 for EMG studies?

1. CPT code 95869 should be used to bill a limited EMG study of specific muscles. Examinations confined to distal muscles only, such as intrinsic foot or hand muscles, will be reimbursed as Code 95869 and not as 95860-95866.