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CPT 64635 | Destruction Of Facet Joint Nerves (Lumbar Or Sacral Region)

CPT code 64635 describes a procedure in which a provider destroys nerves in the facet joints of the lumbar or sacral region of the spine using a neurolytic agent, such as radiofrequency, under the guidance of fluoroscopy or CT imaging.

What Is CPT Code 64635?

CPT 64635 describes the destruction of nerves in the facet joints of the lumbar or sacral region of the spine using a neurolytic agent, such as radiofrequency, under the guidance of fluoroscopy or CT imaging.

The procedure involves using a needle to deliver the agent to the affected nerves and may be performed on one or more nerves on a single side of a single joint.

The provider confirms the needle’s placement using imaging guidance before administering the agent and applies a dressing after completing the procedure.

Description

The CPT book describes CPT code 64635 as: “Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint.”

Procedure

Once the patient is anesthetized, the provider uses fluoroscopy or CT guidance to direct a needle to the affected joint in the lumbar or sacral area of the spine.

He identifies the nerves and confirms the needle is in the appropriate location. The provider then applies the nerve-destroying agent, such as radiofrequency. 

Next, the provider may treat one or more nerves on a single side of a single joint before he removes the needle and applies a dressing.

How To Use CPT 64635

You can report CPT code 64635 for bilateral procedures if you add modifier 50 to the claim.

Every facet joint can be billed with a single unit of CPT 64635.

Be aware that CPT 64635 is a unilateral procedure. However, you can add modifier 50 for bilateral procedures.

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