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CPT® 64600, Under Destruction by Neurolytic Agent (eg, Chemical, Thermal, Electrical or Radiofrequency) Procedures on the Somatic Nerves

The Current Procedural Terminology (CPT®) code 64600 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.

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Summary

The provider destroys part of a nerve by injecting a neurodestructive agent at or near the trigeminal nerve, a cranial nerve responsible for sensation and some motor functions in the face. This service is generally done to obstruct motor function in the face or scalp. Providers also perform it to relieve extreme nerve pain associated with a condition known as trigeminal neuralgia, also called tic douloureux, a chronic and extremely painful condition of the face associated with a nerve injury or lesion.

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Nexplanon removal w/Fluoroscopic guidance
77002 Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure) ... [ Read More ]
flouroscopic guidance denial
I believe you would also bill 77002 with 64420 and 64421 X3 . It is included within the "64400-64448" code set in the below note . (Use [URL='https://coder.aapc.com/cpt-codes/77002'][U]77002[/U][/... [ Read More ]
Trigeminal RFA coding trouble
We are having issues coding this procedure correctly, 64600 or 64610. The OP Report reads as follow: The area was sterilely prepped and draped. The C arm was moved into position and covered with a st... [ Read More ]
flouroscopic guidance denial
64420 is for a single level;[B] Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level[/B] and 64421 is and add on code to 64420; [B]Injection(s), anesthetic agent(s) and/o... [ Read More ]
63047 and 77002
There is an NCCI edit between 63047 and 77002. A modifier is allowed to bypass the edit, but when there is an edit, I typically go to the NCCI Policy Manual chapter that talks about the code I'm apply... [ Read More ]
64600 - Bilateral
I have a claim the provider performed a bilateral supraorbital RFA at the branch of the trigeminal nerve and the insurance (Anthem) denied with modifier -50. According to Encoder this code does is not... [ Read More ]
77002 and 77003
Report [URL="https://www.encoderpro.com/epro/cptHandler.do?_k=101*77002&_a=view"]77002[/URL] in conjunction with [URL="https://www.encoderpro.com/epro/cptHandler.do?_k=101*10022&_a=view"]10022[/URL], ... [ Read More ]
77002 and 77003
Here is the codes, you should just order the book and paid for it yourself if the provider will not cover it. i would order the AMA CPT Professional Edition. If you discuss coding with the provider, y... [ Read More ]
CANPC Anesthesiology coding essentials book 62 p. (1-19)
CANPC Anesthesiology coding essentials for successful anesthesiology coding by Vino C. Mody Jr., M.D., COC, CPC, CCS-P, CANPC, CCVTC Table of Contents Preface Introduction CPT Coding Steps for anesthe... [ Read More ]
Radiofrequency Rhizolysis of trigeminal neuralgia
Look at the 64600 - 64610 codes depending upon if it was one of the Trigeminal nerve branches that was RF or if the RF was performed at the foramen ovale on the 2nd & 3rd Divisions... [ Read More ]
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