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Nancy Posted Wed 07th of July, 2010 15:35:14 PM

I have a provider who did RFAs of the Left L4, L5, S1, S2, S3 & SA He billed a 64622 x 1 and 64623 x 4. Another provider states this is incorrect that he should be billing a 64640.Medicare LCD states CPT code 64640 is for Destruction by neurolytic agent;interdigital nerve of the foot-Morton's Neuroma. I am new to Pain Management and I am trying to understand as much as I can Please help. Thanks

SuperCoder Answered Thu 08th of July, 2010 07:17:37 AM

CPT 64640 is for destruction of specific site(s) in the nerve root (peripheral nerves or branches). Whereas, 64622 and 64623 is used for destruction of the intercostal nerve. So I think you can only code 64622 x1 and 64623 x4, but do confirm the actual destruction region and code accordingly.

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