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Reader Questions: Follow Payer Preference for Multi 64640

Published in Anesthesia Coding Alert, July 2010

Question: How do we correctly bill multiple radiofrequency ablations of the lumbosacral lateral branches? Do we append modifier 51 to any ablation after the first?
Virginia Subscriber
Answer: Begin with procedure code 64640 (Destruction by neurolytic agent; other peripheral nerve or branch), then check with your payer about how to report additional ablations.
Option 1: Submit 64640 on the same line for each ablation (64640 x 4 for four ablations, for example). Append either LT (Left side) or [...]


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Published in Anesthesia Coding Alert, July 2010
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