Results 1 to 8 of 8

pain management injection

  1. #1
    Default pain management injection
    Medical Coding Books
    Hi! One of our Drs performed radiofrequency ablation of the lumbar sympathetic nerves on the right side at L2, L3, and L4. I was having trouble trying to find an appropriate code. I was looking at 64640, but i'm not sure if that would be the right choice or if I should go with the unlisted code 64999?

    thanks for your help! Have a great weekend!

  2. #2
    Default Pain Management Injection
    Just remember that ASCs cannot use unlisted codes. Hope that helps you to determine what to use.

  3. #3
    ok thanks

  4. Default
    64622 would be more appropriate and 64623 for each additional, with rt and lt modifiers. Hope that helps.

  5. #5
    were exactly does it say ASC's can't use unlisted? I believe they can. They just don't get paid more than half the time...

  6. Default pain mgt
    i will use 64622-50 and 64623-50 but be careful there is a lcd on these codes with medicare.

  7. #7
    St. Joseph County, Indiana
    As a pain management billing junkie, you cannot use 64622 for RF of Lumbar Sympathetic Nerves. Lumbar Sympathetic Nerves are completely different than facet/medial/paravertebral nerves. 64640 won't help either since sympathetic nerves aren't peripheral nerves. Your only hope is 64640 x 3.

    Brock Berta, CPC

  8. #8
    ok, thanks for your help!

Similar Threads

  1. Pain Management injection
    By Trudy Q in forum Medical Coding General Discussion
    Replies: 8
    Last Post: 09-06-2013, 08:36 PM
  2. Pain management injection
    By Trudy Q in forum Anesthesia
    Replies: 3
    Last Post: 09-02-2013, 09:35 PM
  3. Pain Management Injection
    By AR2728 in forum Anesthesia
    Replies: 6
    Last Post: 01-17-2013, 08:25 AM
  4. pain management injection
    By JLM929 in forum Medical Coding General Discussion
    Replies: 8
    Last Post: 08-09-2012, 02:46 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.