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help with balloon microcompression

  1. #1
    St Paul, MN
    Default help with balloon microcompression
    Medical Coding Books
    Any idea on the CPT code used for trigeminal ganglion balloon microcompression? I am thinking 64999....

    Thank you!

  2. Default
    Good one. That took me a while to find but I found it. If you in your CPT under "Trigeminal" in the index, you will come across Trigeminal Ganglia, otherwise known as "Gasserian Ganglion". This leads you to code # 61450. I think that would do it, only knowing the limited info that you provided.
    Hope that helps.

  3. #3
    St Paul, MN
    Default help with Balloon microcompression
    Thanks for the reply but I wasn't clear in my original post...

    My doctor states that he will be preforming a percutaneous balloon microcompression on the patient's fifth cranial nerve to treat trigeminal neuralgia. From what I understand, he will be inserting a catheter and then a balloon is inflated with contract material to destroy the nerve.

    At first I was going to use CPT code 64600 but that is injecting the NERVE with a neurolytic agent. Our doctor will be inflating the balloon and basically crushing the nerve.

    It is not a crani, the doctor uses flouroscopy to guide the needle and cathetar into the cranial nerve

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