CPT^® 64640, Under Destruction by Neurolytic Agent (eg, Chemical, Thermal, Electrical or Radiofrequency) Procedures on the Somatic Nerves

The Current Procedural Terminology (CPT^®) code 64640 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

Neurolysis is the destruction of nerves responsible for carrying pain information. The destruction includes the use of chemical, heat, or radiofrequency techniques.

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64640 - IOVERA Cryoneurolysis

Hello, I work for an Orthopedic practice and I am coding our 1st IOVERA Cryoneurolysis procedure. I know to use 64640, but in the CPT book it doesn't say 'each' so I don't know if I only code once for... [ Read More ]

Iovera

[QUOTE="obrien136@abe.midco.net, post: 501673, member: 311143"] We have a doctor that does the iovera in four seperate nerves and we use the 64640x4 and get paid by medicare. Some commercial carriers ... [ Read More ]

Qutenza J7336 application CPT/HCPCS

I am a facility coder for a hospital system that is primarily Medicare and Medicaid patients. I also work denials, NCCI edits, payer specific edits etc for OPPS billing. Our pain management and wound ... [ Read More ]

Iovera - insurance coverage

Sharing one additional resource for the coding of cryoneurolysis. The AMA addressed this topic in CPT Assistant April 2019. They had advised a number of years ago to code 64999 for cryoneurolysis, but... [ Read More ]

Iovera - insurance coverage

We bill for an Orthopaedic practice that uses Iovera and we have been receiving reimbursement from Medicare, Aetna, UHC/Oxford and Anthem. We use CPT 64640 and 76942 (our docs use ultrasound guidance)... [ Read More ]

Iovera - insurance coverage

I called the reimbursement support and spoke to Kelly @ Iovera. She insisted that the codes were correct, that this product is for cryoneurolysis not cryoablation and that is why 0440T is not the corr... [ Read More ]

Iovera

I called the reimbursement support and spoke to Kelly. She insisted that the codes were correct, that this product is for cryoneurolysis not cryoablation and that is why 0440T is not the correct code... [ Read More ]

Code for Radiofrequency Ablation of Hip?

Good Morning, Does anyone know the CPT code for "Radiofrequency ablation of the innervation of the right hip joint from femoral and obturator nerves"? Could it be 64640?... [ Read More ]

Intercostal RFA CPT

We do a thermal, non pulsed radiofrequency ablation. We did an intercostal RFA today so we would bill 64640. But how can we bill for the fluoroscopic guidance if 77003 isn't allowed to be an add on co... [ Read More ]

RT Femoral & Articular Nerve RFA?

Hi! I code pain management procedures for my ASC and we have a physician coming in to do a procedure our normal doc does not perform...so I want to get it right! He's listing the procedure above as ... [ Read More ]

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