Lynn Posted Mon 23rd of September, 2013 15:22:49 PM
How would you code water-cooled rfa of s1, s2 and s3? Can you code 64640 x 3?
SuperCoder Answered Mon 23rd of September, 2013 17:29:34 PM
For the lumbar or sacral spinal region, start with 64635 (Destruction by neurolytic agent, paravertebral facet joint nerve[s] with imaging guidance [fluoroscopy or CT]; lumbar or sacral, single facet joint) for the initial destruction. Add +64636 (... lumbar or sacral, each additional facet joint [List separately in addition to code for primary procedure]) for each additional level.
The "code first" reference you mention relates to the fact that codes 64635 and +64636 both address destruction at the lumbar/sacral levels. You must report a destruction with 64635 before you can report additional destructions with +64636.