tci Part B Insider - 2014 Issue 43

Reader Question: You May Be Behind on Your Ablation Codes

Question: We used to bill radiofrequency ablation codes 64633, 64634, 64635, and 64636 by nerves. Has that changed to billing by levels/joints?  Answer: Yes, that change took effect in January 2012. Prior to 2012, the unit of service used to report these procedures was a single nerve at a single vertebral level. When the change took place, the codes you had reported up until that point (64622, 64623, 64626, and 64627) were deleted and replaced with the codes you mention: 64633 – Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or...

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