Results 1 to 7 of 7

Radiofrequency coding

  1. Default Radiofrequency coding
    Medical Coding Books
    I have a doctor who recently started doing radiofrequency. Please explain how to code the following:

    Under fluoroscopic guidance, the junction between the right SI superior articular process and the right sacral ala was identified. The skin and subcutaneous tissue were anesthetized.

    Using a 3 1/2 inch, #22 gauge radiofrequency cannula, the bony landmark was identified and inserted until the tip touched the bone to the above-mentioned landmark. Cannula placement was confirmed on both anterior/posterior and lateral views. Local anesthesia was infiltrated at the 2 o'clock and 4 o'clock positions at the S1, S2, and S3 foramen on the right side. The cannula tips were placed under fluoroscopic guidance at the above-mentioned locations. Again, cannula placement was confirmed on both anterior/posterior and lateral views. Sensory stimulation was then performed at 50 hertz with reproduction of the patient's pain at less than 0.5 volts at each location. Motor stimulation was performed at 2 hertz up to approximately 2.5 volts with no abnormal right-sided lower extremity motor activity.

    An injection was performed through each cannula consisting of 1 ml of 2% lidocaine with 10 mg of Depo-Medrol. A radiofrequency electrode was then inserted through each of the cannula. Lesioning was performed at 80 degrees Celsius for 90 seconds at each level. Electrode and cannulas were removed intact.

    The patient was discharged to the post anesthesia area in satisfactory condition.

    My doctor chose 64622, 64623 x6 and 77003-26. I am confused about the number. Many thanks!

  2. #2
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    I agree with you the numbers dont match up..I see 6 ...2 o'clock and 4 oclock positions at 3 different levels = 6 ...not sure where he is coming up with the 7th one unless he is trying to capture the initial cannula insertion at the SI, but I dont see that he did the radiofrequency at that level.

  3. Default
    Thank you - that is what I saw also - I will review your reply with him.

  4. #4
    Location
    St George, UT
    Posts
    37
    Default
    I only get a total of 3 (64622, 64623 x 2, 77003-26). He only placed needles at the S1, S2 and S3 on the right. You would have 6 if it was a bilateral procedure.

  5. Default
    i agree with the previous response. There were only 3 levels. He only stated that he placed local anesthetic at the 2 & 4 o'clock positions but then did the radiofrequency at the S1,S2 and S3 foramen. I would speak with your doctor again.

  6. #6
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    surgeon indicates that he did the radiofrequency at all locations 2'oclock and 4'oclock

  7. #7
    Location
    St George, UT
    Posts
    37
    Default
    "Local anesthesia was infiltrated at the 2 o'clock and 4 o'clock positions at the S1, S2, and S3 foramen on the right side. "


    I still only get 3 levels with the way it reads.

Similar Threads

  1. Help coding radiofrequency Denervation
    By elee6677 in forum Neurology/Neurosurgery
    Replies: 0
    Last Post: 10-04-2013, 03:52 PM
  2. Radiofrequency coding Help
    By Cindyev67 in forum Billing/Reimbursement
    Replies: 1
    Last Post: 07-10-2012, 03:29 PM
  3. Need Help with Radiofrequency Coding
    By Cindyev67 in forum Anesthesia
    Replies: 1
    Last Post: 06-30-2012, 07:01 PM
  4. Radiofrequency coding Help
    By Cindyev67 in forum Orthopaedics
    Replies: 0
    Last Post: 06-29-2012, 06:33 AM
  5. Replies: 1
    Last Post: 12-02-2011, 07:26 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?

Login

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.