For CPT 2000, the destruction by neurolytic agent (eg, chemical, thermal, electrical, radiofrequency) codes 64622-64623 were revised, and two new codes 64626-64627 were established to delineate paravertebral facet joint nerve destruction by a neurolytic agent at the cervical or thoracic region(s).
Above is from CPT Assistant, I was trying to determine if freezing the nerve was included in "destruction by neurolytic agent"
The last facet joint level L5-S1 would not be associated with the coccygeal nerves so I would not use these codes. For 64640, I would review the defintion of "thermal" and see if could apply to your scenario.
Another option, you could bill it unlisted and see how they respond when they review the procedure note. This way after billing a couple unlisted you can see they cover this type of procedure versus billing with 64640 and they are not really aware of what actually is being performed.
- ICD-10 Trainings
- Comprehensive Courses
- CPC (Certified Professional Coder)
- COC (Certified Outpatient Coder)
- CIC (Certified Inpatient Coder) NEW!
- CRC (Certified Risk Adjustment Coder) NEW!
- CPB (Certified Professional Biller)
- CPMA (Certified Professional Medical Auditor)
- CDEO (Certified Documentation Expert – Outpatient) NEW!
- CPPM (Certified Physician Practice Manager)
- CPCO (Certified Professional Compliance Officer)
- VIEW ALL CERTIFICATIONS
Coding / Billing Solutions
- Audit / Compliance Solutions
Job Experience / Apprentice Removal
News / Discussion
- Other Resources
- Book Store
- Log In / Join