• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Coding Radiofrequency Nerve Ablation for the first time

EricRmi

Contributor
Messages
13
Location
Laguna, LG
Best answers
0
Good day.

I just want to make sure that I am coding this correctly so we can bill the insurance.

Procedure: Bilateral, Lumbar L-3, 4 and Lumbar L- 5 Dorsal Ramus Radiofrequency Nerve Ablation (RFNA) with Fluoroscopy for lumbar facet joint mediated pain.

64635 is used for RFNA. Since there are 3 bilateral nerve facets to be destroyed is this how I code this?

64635-50, 64636, 64636-59, 64636-59, 64636-59?
64635 For L and R L3 nerve
64636 and 64636-59 for L and R L4 nerve
then 64636-59, 64636-59 for L and R L5 nerve

The book says report the add-on codes twice for bilateral procedure and don't put modifier 50 to it. However I know that when you report a code more than once, you will need to add mod 59 right? But I'm not sure if this is correct since it will be reported more than twice.

Please I need feedback on this.

Thank you
 
Top