How do I bill CPT 64635?

How do I bill CPT 64635?

For each initial, single level thermal radiofrequency destruction performed with image guidance (fluoroscopy or CT), use code 64633 (cervical or thoracic) or code 64635 (lumbar or sacral).

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 bilateral facet injection?

A lumbar facet joint block is an injection of local anesthetic (numbing medicine) into one or more of the small joints located along the side of each vertebrae on both sides of the spine in the lower part of the back. Multiple injections may be performed, depending upon how many joints are involved.

Does 64635 need a modifier?

Note: Each unilateral or bilateral intervention at any level should be reported as one unit. If initial bilateral paravertebral neurolytic destruction is performed, code 64633 or 64635, signify by appending the modifier -50.

How do you bill radiofrequency ablation?

Pulsed radiofrequency ablation should be reported using CPT code 64999.”

What does CPT code 64635 mean?

Destruction by neurolytic agent
Codes 64635, Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint, and 64636, Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, each additional …

How do I bill facet injections?

When an intraarticular facet joint injection is used for facet cyst aspiration/rupture, it should be reported with CPT code 64999. Providers are required to indicate in block 19 of the 1500 claim form or the EMC Equivalent the date of the initial injection procedure and if the injection procedure is being repeated.