![]() ![]() Got additional questions or concerns? call us today! Billing Tip: Always make sure you understand and you know the Medical, Clinical, Utilization and Reimbursement Policy of your Payers. If all 3 of these genicular nerve branches are not injected, report 64454 with Modifier Īrticle Source: CPT Assistant December 2019 page 8 Destruction by Neurolytic Agent (Genicular Injection Radiofrequency Neurotomy Sacroiliac Joint) For Current Procedural Terminology ![]() The ultrasound guidance may be reported with 76942 Ultrasound guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation. When your Physician is Blocking the Knee Genicular Nerves - here's your code: (pay attention with the imaging! it is included!).ĬPT 64454 - Injection(s), anesthetic agent(s) and/or steroid genicular nerve branches (make sure your Provider had documented this!) According to the AMA, because the IPACK block is directed as a tissue plane (not at a specific nerve) and blocks several nerves, it is coded to unlisted code 64999 Unlisted procedure, nervous system. Understanding the 3 Genicular Nerve Branches of 64624 In this situation, service provided can be identified by its usual procedure number and the addition of the modifier 52, which indicates that the service was reduced. There can be several reasons behind the physician’s decision. It may occur under certain circumstances that a service or procedure is partially reduced or eliminated at the physician’s discretion. Modifier 52 is usually used for reduced services. Genicular nerve injections require documentation that the superolateral, superomedial and inferomedial nerves have been targeted and is reported with the new CPT code 64454. If a neurolytic agent for the purposes of destruction is not applied to all of these nerve branches, you can report CPT 64624 but you MUST append the MODIFIER 52: While there is an article from the AHA Coding Clinic stating that the IPACK block should be billed with 64999, ACE does believe it is defensible to bill with the 64450. Pay attention to this, the CPT 64624 requires the destruction of each of the following genicular nerve branches: (make sure your Provider had documented this!) ![]() (Do not report 64624 in conjunction with 64454 - Injection(s), anesthetic agent(s) and/or steroid genicular nerve branches, including imaging guidance, when performed Repetitive peripheral nerve blocks for chronic non-malignant pain. Take note of the word "branches".ĭestruction by Neurolytic Agent (eg, Chemical, Thermal, Electrical or Radiofrequency), Chemodenervation on the Somatic NervesĬPT CODE 64624 Destruction by neurolytic agent, genicular nerve branches including imaging guidance, when performed When your physician is performing an RFA on Genicular nerves, use code 64624 (Destruction by neurolytic agent of genicular nerve branches). The good news is, we have a new code for this effective January 1, 2020. Billing for the Genicular Nerve Branches RFA have been a struggle since it was not too clear to us on how we should be billing for this service. ![]()
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