1. K

    Wiki Iovera Billing and Coding

    Hello everyone, Does anyone have any experience billing Iovera? I know the Iovera website says to bill cpt 64640 but we have information from the AMA to bill unlisted code 64999. The problem is we can't seem to get this paid by any payer, except Network. Is anyone billing Iovera...
  2. C

    Wiki 64640 vs 64999 for a saphenous nerve rfa

    Hi, Our provider performed a left saphenous nerve radiofrequency ablation. However, in his op notes, he states the radiofrequency was performed for 60 seconds at 60 degrees Celsius. I know CPT guidelines state the following: "Do not report 64633, 64634, 64635, 64636 for non-thermal facet joint...
  3. J

    Wiki Low-grade energy (<80 degrees) Rhizotomy (64999)

    The procedure performed was a bilateral cervical medial branch facet rhizotomy at C3-4, C4-5, C5-6, and C6-7 levels. This was done at a low-grade energy (<80 degrees) so according to CPT; we must bill unlisted code 64999. The 50 modifier is invalid for 64999 but my question is how do we convey...
  4. S

    Wiki RF - "internally cooled electrodes"

    A rep is trying to sell my Dr's on cooled radiofrequency treatment supplies for our cervical and lumbar RF's. I responded with the guidance from the 2017 CPT book about anything less than 80 degrees C being 64999 instead of 64633-64636. I was then told that they use internally cooled electrodes...
  5. S

    Wiki 64640 or 64999

    My doctor is wanting to do a RFA of the coccyx. I am leaning toward this being a 64999 instead of a 64640. Does anyone have support for which code is correct??