ksellman
Guest
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 code for 64640?
This is correct. The only addition I would make for people who aren't familiar with this is these are two examples of stealth inclusion of fluoroscopy. It isn't included in the descriptor for the peripheral or intercostal procedure, but they aren't listed as primary codes for 77003.This isn't my specialty, but I think you're using the wrong code - the destruction of the intercostal nerve should be 64620 and the fluoroscopic guidance is inclusive to that code and not separately billed, per CPT instructions. Perhaps someone else here with more experience in these procedures can confirm this.