Results 1 to 3 of 3

Intercostal Nerve Destruction??

  1. #1
    Question Intercostal Nerve Destruction??
    Clearnace Sale
    For cpt 64620 if the MD does different levels at the Intercoastal Nerve can you code more than one unit using this code? For example : Pulse mode RF ablation of the left T6, T7, T8, T9 under fluoro guidance.

    I would use code 64620 - LT x 4 units. Right?

    I have two insurances that tell me this is only a one unit code.

    Also if anyone agrees with me that this can be multiple units - would you have a good reference I could use for appeals.

  2. #2
    I agree that you should be able to bill multiple units with this, but I have no documentation to help you. If you were only meant to bill it once for multilpe nerves, the descriptor would read "....agent, intercostal nerve(s) ...
    Last edited by Walker22; 12-08-2009 at 12:28 PM.

  3. #3
    I just noticed that you said "pulse-mode RF ablation". Most payors consider this experimental and won't pay anyway. Technically, pulsed mode is not true ablation because it does not destroy the nerve, therefore 64620 would not be the correct code. There is no code for pulse mode RF, so you must use 64999.

Similar Threads

  1. Intercostal nerve block
    By SJMarra in forum Neurology/Neurosurgery
    Replies: 1
    Last Post: 04-24-2014, 01:48 PM
  2. Intercostal Nerve Blcok
    By lump2009 in forum Anesthesia
    Replies: 5
    Last Post: 04-02-2010, 10:59 AM
  3. Intercostal Nerve Nuerolysis R T9-T12
    By LORIN830 in forum Anesthesia
    Replies: 1
    Last Post: 03-23-2009, 06:25 PM
  4. anesthesia for intercostal nerve injection
    By non236 in forum Anesthesia
    Replies: 1
    Last Post: 10-01-2008, 03:16 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.