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Percutaneous Balloon Microcompression

  1. #1
    St Paul, MN
    Default Percutaneous Balloon Microcompression
    Medical Coding Books
    Hi everyone. Could really use some help with the CPT code for this procedure. Right now I am thinking of 64999.

  2. #2
    Not enough info to determine code. Percutaneous balloon microdecompression of what?

    Julie, CPC

  3. Default
    Please give a little more detail. Are you talking about Vertebroplasty or Kyphoplasty (spinal procedures)?

    LaSeille Willard, CPC

  4. #4
    St Paul, MN
    Default balloon microcompression
    Sorry for the not getting more detail..

    It is not a kyphoplasty or vertebroplasty.

    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.
    Last edited by nkrush12; 02-16-2009 at 11:57 AM.

  5. #5
    I'm just not finding much information on this procedure. I also come up with 64999 but am not totally convinced that this is correct. From what I'm reading about PTBC (Percutaneous Trigimal Balloon Compression), the balloon is inserted via a needle/catheter and then expanded multiple times crushing the nerve. Do you know the manufacturer of the balloon device?

    Julie, CPC

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