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Answers to Compliance and Medical Coding Questions.
  1. Tara Posted 1 Year(s) agoRelated Topics

    HOW WOULD YOU CODE: RIGHT L5 DORSAL RAMUS RADIOFREQUENCY NEUROTOMY AND RADIOFREQUENCY NEUROTOMY OF THE LATERAL BRANCHES OF THE DORSAL RAMI OF S1, S2 AND S3. I AM LEANING TOWARD 64640 X 3 FOR S1-S3 AND 64635 FOR L5. YOUR HELP WOULD BE APPREICATED. THANK YOU, TARA

  2. SuperCoder Posted 1 Year(s) ago

    Hi,

    I would suggest you use CPT code 64635 for radiofrequency Neurotomy performed at L5 and CPT code 64636 x 3 units for Neurotomy performed at S1, S2 and S3 levels.

    CPT code 64635 suggests destruction performed at lumbar or sacral level. Hence we can code 64635 and 64636.

    Thanks  

  3. SuperCoder Posted 6 month(s) ago

    Hi Tara,

    Hope you are doing good.

    There is a change to the answer provided to you. You should bill 64640 four times for the four radiofrequency ablations performed at dorsal rami of L5, S1, S2 and S3

    Coding should be in the below mentioned manner:

    64640

    64640-59

    64640-59

    64640-59

    Please find below the SuperCoder link for more understanding on the topic:

    https://www.supercoder.com/coding-newsletters/my-anesthesia-coding-alert/reader-questions-follow-payer-preference-for-multi-64640-article

    Let us know in case of any concern.

    Thanks!

About this Question

  • Posted by 24114 Tara, 1 Year(s) ago. There are 3 posts. The latest reply is from SuperCoder.