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ortho1991

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Hi All looking for advice on this. Procedure performed LT L3 and L4 medial branch radiofrequency ablation with fluroscopic guidance for the L4-5 lumbar facet.

I'm a little confused by his wording of FOR the L4-5 lumbar facet. Is this only code I should bill 64635 for the L4-5 or should I be coding 64635 and 64636 for the LT L3 and L4?

Any help would be appreciated.
 
ortho1991 said:
Hi All looking for advice on this. Procedure performed LT L3 and L4 medial branch radiofrequency ablation with fluroscopic guidance for the L4-5 lumbar facet.

I'm a little confused by his wording of FOR the L4-5 lumbar facet. Is this only code I should bill 64635 for the L4-5 or should I be coding 64635 and 64636 for the LT L3 and L4?

Any help would be appreciated.
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Do you have the report? I would still code both the 64635 and 64636. Seems like fluoro was used just for the one facet but if documentation supports both facets being done, code both.
 
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