Anesthesia Coding Alert

Question: What code should I report for pulsed radiofrequency? I have information stating we should use 64999 (Unlisted procedure, nervous system), but I also have a copy of a letter from the AMA dated July 20, 2004, stating that the CPT advisers changed their minds on their original decision and that the codes from the "destruction by neurolytic agent" series can be used.


Delaware Subscriber


Answer: Check the carrier guidelines to determine the correct approach. Some coders still report 64999, but others select the correct code from the 64600-64640 series (codes related to Somatic nerve destruction by neurolytic agent [e.g., chemical, thermal, electrical or radiofrequency]). Coders reporting from this group say they don't usually have problems being paid for the procedures.