Radiofrequency technology is used to treat chronic hip pain by denervating the femoral and obturator nerves through the creation of a neuroablative lesion by heating the tissue above 60 degrees Celsius. Under fluoroscopic guidance, a radiofrequency probe is inserted percutaneously, and after performing a motor stimulation, denervation of the articular branch of the femoral nerve is performed. Using a separate insertion, denervation of the articular branch of the obturator nerve is then performed. Is code 27035 , Denervation, hip joint, intrapelvic or extrapelvic intra-articular branches of sciatic, femoral, or obturator nerves, the appropriate code to report this procedure? ...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article covers a hip pain treatment procedure involving radiofrequency denervation of targeted nerves under fluoroscopic guidance and reviews the CPT reporting considerations for that service. It is aimed at coders, billers, and clinicians who need to determine whether a specific CPT code applies or whether an unlisted-procedure approach is more appropriate. The discussion stays focused on procedure context, CPT code-set relevance, and documentation expectations associated with unlisted reporting.

Why This Topic Matters

Accurate reporting for uncommon interventional pain procedures affects claim acceptance, documentation requirements, and selection of the most appropriate CPT pathway for reimbursement review.

Codes Discussed

• CPT: 27035
• CPT: 27299

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