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Neurosurgery Coding Alert

Reader questions:

Cut to 64744 for neurectomy for neuralgia

Published on Sat Nov 21, 2009

Question: Our neurosurgeon completed C2 posterior neurectomy to treat neuralgia. What procedure and diagnosis codes should we submit? Vermont Subscriber Answer: Your most accurate choice is 64744 (Transection or avulsion of; greater occipital nerve). ICD-9 includes a range of diagnoses for neuralgia, but you'll typically assign 723.8 (Other syndromes affecting cervical region), which includes the example of cervical neuralgia. Check the operative report for details so you'll assign the correct choice.
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