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Thread: pain management injection

  1. #1

    Default pain management injection

    AAPC: Back to School
    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
    Join Date
    Apr 2007

    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. #4


    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. #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
    Join Date
    Apr 2007
    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!

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