Radiofrequency Question


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According to Medicare guidelines for CPT 64633, destruction of neurolytic agent, there is a limit of 2 levels unilaterally or bilaterally at the same level within a 12 month period of time. Does that mean more no more than two sessions or no more than two levels?

For example...

Our doctor performed CPT 64633 on levels C3 and C4, one month later she performed it at C5 abd C6, one month later she performed C1 and C2.

Medicare is denying the C1 and C2 as more than two sessions even though C1 and C2 was only treated once.

I hope this makes sense. Any feedback will be much appreciated. Im doing a review and want to know the best way to appeal it.