What is the CPT code 64636?

What is the CPT code 64636?

The Current Procedural Terminology (CPT®) code 64636 as maintained by American Medical Association, is a medical procedural code under the range – Destruction by Neurolytic Agent (eg, Chemical, Thermal, Electrical or Radiofrequency) Procedures on the Somatic Nerves.

Does 64636 need a modifier?

If the denervation is performed at more than one level, unilateral or bilateral, CPT codes 64634 and 64636 should be used for each of the subsequent levels. If denervation is performed bilaterally, Modifier 50 should be appended to the procedure code with number of services of one.

Is 64636 an add-on code?

Use Add-on Code for additional levels is code 64636. Code Rhizotomy procedures from the Destruction by Neurolytic Agent codes. **To bill for identical bilateral procedures where there is not an all-inclusive code, bill the procedure code with a “50” modifier on one line indicating one unit of service.

Does Medicare pay for medial branch blocks?

Medicare Coverage for Lumbar Medial Branch Blocks Lumbar medial branch blocks refer to a diagnostic procedure where injection of an anesthetic “tests” the joint’s nerve endings. This is done to verify the pain relief response and receives coverage when medically necessary.

What is a spine facet?

Facet joints are pairs of small joints in between the vertebrae in the back of the spine. These joints have opposing surfaces of cartilage, which limits friction between the bones. The joint is surrounded by a capsule filled with a small amount of synovial fluid.

Does 64490 need a modifier?

Laterality: Bilateral paravertebral facet injection procedures 64490 through 64495 should be reported with modifier 50. The KX modifier should be appended to the line for all diagnostic injections. In most cases the KX modifier will only be used for the two initial diagnostic injections.

How do you code lumbar radiofrequency ablation?

CPT code 64999 is to be used for pulsed radiofrequency ablation.

Are nerve blocks covered by Medicare?

Your Medicare benefits may cover the cost of a genicular nerve block procedure if you have not gotten successful knee pain relief from more conservative therapies in the past, and your health care provider uses it diagnostically to determine your condition.

Is there a facet joint between L5 and S1?

At the back, the S1 vertebra contains a long bony prominence called the median ridge. There are bony openings (foramina) on the right and left sides of this ridge. L5 and S1 are joined by the lumbosacral facet joints lined with articular cartilage.

What is L5 S1 facet arthropathy?

Facet Arthropathy (FA) is a painful, arthritic condition of the facet joints. These joints allow for bending, twisting, and alignment of the spine. The spinal nerves come off the spinal cord between the vertebra and the facet joints.

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