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#1
01-16-2009, 03:22 PM
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Cryoablation
The physician performs Therapeutic left L2, L3, L4, L5, S1 and ascending accessory S1 facet nerve cryoablation under fluoroscopy. Would you bill 4 or 5 levels? Thank You
Last edited by bethh05; 01-19-2009 at 07:20 AM. 
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#2
01-21-2009, 11:35 AM
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what CPT code are you looking at?
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#4
01-21-2009, 12:16 PM
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see http://www.codinginstitute.com/artic...ck_destruction
For example, the physician provides a diagnostic nerve block for nerves at L2, L3 and L4, followed shortly thereafter by injection of a neurolytic agent to the same nerves. The block occurs at two levels (L2/L3 and L3/L4), while the destruction occurs on three levels (L2, L3, L4). Because destruction includes blocking, however, you would report only the nerve destruction, using 64622 (Destruction by neurolytic agent, paravertebral facet join nerve; lumbar or sacral, single level) for the first level (L2) and +64623 (…lumbar or sacral, each additional level[list separately in addition to code for primary procedure) x 2 for additional levels L3 and L4.
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