AAPC - Back to school
Results 1 to 3 of 3

Thread: Radiofrequency Denervation and Facet Joint Injections

  1. #1

    Default Radiofrequency Denervation and Facet Joint Injections

    AAPC: Back to School
    I have a question for all you pain management guru's. There was and article in The Coding Edge from December 08 that stated the nerve blocks are per level ie; nerve blocks for C2, C3, and C4 is addressing three nerves but only two levels. When it comes to Radiofrequency do we use the same protocol? The physician performs radiofrequency facet denervation to the left L3, L4,
    L5, S1 and ascending accessory nerves, how many levels would be reported in this scenario? Thank You very much!!

  2. #2
    Join Date
    Apr 2007
    North Carolina


    64622-64627 refer to individual nerve level destruction. You count the actual number of nerves the physician injects. One level equals one nerve for 64622-64627. In your case..."The physician performs radiofrequency facet denervation to the left L3, L4, L5, S1 and ascending accessory nerves" equals:

    64622 (L3)
    64623 x 3 (L4, L5, S1)

  3. #3
    Join Date
    Apr 2007
    St. Joseph County, Indiana


    As a pain management coder junkie, bethh05 is right on.

    This issue comes up every year among pain specialists.

Similar Threads

  1. Radiofrequency Denervation S-joint What are your practices Coding???
    By elee6677 in forum Neurology/Neurosurgery
    Replies: 0
    Last Post: 09-24-2013, 02:48 PM
  2. Facet Joint Injections without guidance
    By TammyFarris in forum Orthopaedics
    Replies: 0
    Last Post: 07-13-2010, 10:27 AM
  3. Facet joint injections
    By ccooke9956 in forum Medical Coding General Discussion
    Replies: 15
    Last Post: 10-16-2009, 11:49 AM

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.