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Radiofrequency thermocoagulation rhizotomy

Chelsey Posted Mon 09th of September, 2019 18:21:59 PM
I'm looking for the correct CPT code(s) for radiofrequency thermocoagulation rhizotomy of the right C4, C5 & C6, a total of 3 medial branch nerves under fluoroscopic guidance. Thank you
SuperCoder Answered Tue 10th of September, 2019 08:18:52 AM

Hello Chelsey,

Thank you for your question.

 

As per the above provided documentation, appropriate CPT® code(s) will be 64633 (Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, single facet joint) and,

+64634 (Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, each additional facet joint).

 

Note: In this procedure, the provider inserts the needle through the skin and advances it to the proper position within the cervical or thoracic facet joint, the joint connecting two spinal vertebrae together. He uses fluoroscopy or CT imaging guidance. He then identifies the exact nerve he will destroy. He makes use of the appropriate single technique or combination of techniques, like thermal, electric, chemical, and radiofrequency, to destroy the affected nerve root. In the radiofrequency method, he makes use of radio waves that heat up an electrode placed on the nerve root, thereby destroying it. This method is also called rhizotomy.

 

Hope that helps!

Thanks

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