Neurology & Pain Management Coding Alert

Reader Questions:

Use Unlisted Codes for These Facet Joint Destructions

Question: Encounter notes indicate that the physician performed destruction of a single paravertebral facet joint by neurolytic agent. The physician did not use any visualization for the procedure. We reported 64633 and received a denial. What went wrong? Arizona Subscriber Answer: Since the physician didn’t use visualization for the procedure, you should have reported 64999 (Unlisted procedure, nervous system). Explanation: The descriptor [...]
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