Below is a list summarizing the CPT codes for destruction by neurolytic agent (e.g., chemical, thermal, electrical, or radiofrequency) procedures on the somatic nerves.
CPT Code 64600
CPT 64600 describes the destruction of the trigeminal nerve’s supraorbital, infraorbital, mental, or inferior alveolar branch by a neurolytic agent.
CPT Code 64605
CPT 64605 describes the destruction of the second and third-division branches of the trigeminal nerve at the foramen ovale.
CPT Code 64610
CPT 64610 describes the destruction of the second and third-division branches of the trigeminal nerve at the foramen ovale under radiologic monitoring.
CPT Code 64611
CPT 64611 describes the bilateral chemodenervation of the parotid and submandibular salivary glands.
CPT Code 64612
CPT 64612 describes chemodenervation of muscle(s) innervated by the facial nerve, unilateral, for conditions such as blepharospasm and hemifacial spasm.
CPT Code 64615
CPT 64615 describes chemodenervation of muscles innervated by facial, trigeminal, cervical spinal, and accessory nerves, bilateral for chronic migraine.
CPT Code 64616
CPT 64616 describes chemodenervation of neck muscles, excluding muscles of the larynx, unilateral (e.g., for cervical dystonia, spasmodic torticollis).
CPT Code 64617
CPT 64617 describes percutaneous chemodenervation of a larynx muscle, including guidance by needle electromyography, for treating spasmodic dysphonia.
CPT Code 64620
CPT 64620 describes the destruction of an intercostal nerve by a neurolytic agent.
CPT Code 64624
CPT 64624 describes the destruction of genicular nerve branches using a neurolytic agent with imaging guidance.
CPT Code 64625
CPT 64625 describes radiofrequency ablation of nerves innervating the sacroiliac joint, with image guidance such as fluoroscopy or computed tomography.
CPT Code 64628
CPT 64628 describes the thermal destruction of the intraosseous basivertebral nerve, including all imaging guidance, for the first two vertebral bodies in the lumbar or sacral region.
CPT Code 64630
CPT 64630 describes the destruction of the pudendal nerve by a neurolytic agent.
CPT Code 64632
CPT 64632 describes the destruction by a neurolytic agent of the plantar common digital nerve.
CPT Code 64633
CPT 64633 describes the destruction of a single cervical or thoracic paravertebral facet joint nerve with imaging guidance (fluoroscopy or CT) by a neurolytic agent.
CPT Code 64635
CPT 64635 describes the destruction of a single lumbar or sacral paravertebral facet joint nerve with imaging guidance (fluoroscopy or CT).
CPT Code 64640
CPT 64640 describes a neurolytic agent’s destruction of a peripheral nerve or branch.
CPT Code 64642
CPT 64642 describes chemodenervation of one extremity involving 1-4 muscle(s).
CPT Code 64644
CPT 64644 describes the chemodenervation of one extremity involving five or more muscles.
CPT Code 64646
CPT 64646 describes the chemodenervation of 1-5 trunk muscles.
CPT Code 64647
CPT 64647 describes the chemodenervation of trunk muscle(s) involving six or more muscles.