Hello,
I need assistance applying the new 2012 code set for radiofrequency ablation.
Procedure: Left S1, S2, S3, S4 lateral branch radiofrequency ablation under fluoroscopic guidance and IV sedation.
Looking at CPT codes 64635 and 64636, can someone explain to me proper coding for this procedure now that it is based on the facet joints addressed and not the nerves?
Thanks.
I hope this answers your abboquery
Indicate the individual nerves destroyed (such as “S1, S2, S3, and S4 lateral branches”) in Box 19 (or the electronic equivalent). If Medicare denies a claim you’ll need to go through the appeals process, including sending your physician’s documentation of the separate and distinct RFA of each of the four nerves. Also encourage your physician to include adequate documentation to support the medical necessity of the procedure.
