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Pain management (rftc)

  1. #1
    Default Pain management (rftc)
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    We are getting alot of pain management cases lately and I would like to know if I am coding these correctly. The procedure was for (RFTC) radiofrequency thermocoagulation of the medial branch right side 5 levels (L2,L3, L4,L5 and S1). The CPT manual states to use 64622 + 64623 for each additional level. I have codes 64622-RT, 64623-RT, 64623-RT, 64623-RT, 64623-RT. Can someone that is familiar with pain mgmt let me know if this would be correct? This is a medicare payer. Thank you

  2. Default pain mgt
    i will not code that way i will use 64622 for the first block between l2-l3 then 64623 times 2 only block works by bridge between two vertebrae not per vertebra l3l4 and l5-s1. if you use 77003 for radiology they will also pay for it .

  3. #3
    Thank you so much! The doctor indicated 5 levels on his Op report so that was throwing me. Your response make sense. Thanks again,

    Ruth, CPC

  4. Default Rftc of lumbar
    64622 for 1st level and 64623 each additional level. You do not count as one in this case, each can be billed by itself. If 5 done ie L1,L2,L3,L4,L5 you have 64622 and then 64623 x 4 with 77003 for flouro. Usually it is done with conscious sedation as well.

    Judy Roy, CCS-P,CPC, CANPC

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