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Thread: Rhizotomy lumbar/sacral

  1. #1
    Join Date
    Apr 2007
    Casper, Wyoming

    Default Rhizotomy lumbar/sacral

    AAPC: Back to School
    We have a new procedure that we are trying to code and we want to verify before sending in the claim.

    Procedure performed:
    1.Left L3 medial branch rhizotomy 2.Left L4 medial branch rhizotomy
    3.Right L3 medial branch rhizotomy 4. Right L4 medial branch rhizotomy.

    Our belief is to use 63185-50, plus 77003 for the flouro

    Any advice is greatly appreciated,

  2. #2


    My thoughts is we cant use 63185 with 50 modifier,Can u provide the documentation,(did they used fluoro guidance) - 63185 is a open procedure

  3. #3
    Join Date
    Apr 2007
    Casper, Wyoming


    Thanks for responding. After further review, we came to the conclusion to probably use 64622-50 with 64623-RT and 64623-LT and 77003 as it was fluoro and not use the other code as it was not an open procedure. It was 2 levels(segments) and bilateral.
    Thanks again.

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