Cpt code 64633. Remember: The information presented here is for educational purposes only. Image guidance (fluoroscopy or CT) and the injection of an additional substance (e. . Use CPT code 64634 or 64636 to report each additional facet joint at a different vertebral level in the same spinal region. Learn the code details, guidelines, crosswalks, modifiers and related discussions on Codify by AAPC. Billing and Coding Guidelines CPT CODE 64493, 64495, 64490 64493 Injection (s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level 1. We would like to show you a description here but the site won’t allow us. May 20, 2022 · This article will delve into the complexities of CPT code 64633 and explore different scenarios where it’s appropriate to use the code with various modifiers. If performing radiofrequency on both sides of the body, report these codes using the appropriate bilateral modifier (-50). , anesthetic, contrast material) are considered inclusive components of procedure codes 64633-64636, and are not separately reimbursable. Jan 15, 2026 · The active LCDs are provided with the title, contractor ID, applicable CPT codes and hyperlinks to the complete policy available on the CMS website. If the denervation is performed at more than one level, unilateral or bilateral, CPT codes 64634 and 64636 should be used for each of the subsequent levels. Review description and fee schedules for CPT Code 64633, intended for Surgery, and compare rates across different payers. Refer to National Uniform Billing Committee (NUBC) information for expanded definitions of codes. Sep 25, 2016 · If a provider denervates only one level, unilateral or bilateral, CPT codes 64633 or 64635 should be used. Reference A58364 – Billing and Coding: Facet Joint Interventions for Pain Management The procedure described by CPT® Code 64633 involves the destruction of the paravertebral facet joint nerve using a neurolytic agent, which is guided by imaging techniques such as fluoroscopy or computed tomography (CT). Nov 3, 2025 · Codes 64633, 64634, 64635, 64636, & 64999 (spine) and codes 64624 & 64640 (knee) on destruction by neurolytic agent for RF ablation may be performed as bilateral procedures. AAPC BILLING/CODING INFORMATION: The following codes may be used to describe neurolysis: NOTE: Per CPT coding guidelines, codes 64633, 64634, 64635, and 64636 exclude pulsed radiofrequency methods. Note: Any codes not listed within this table are not currently in use by CMS. Jul 11, 2019 · CPT code 64633 or 64635 describes a single level destruction by neurolytic agent performed with image guidance (fluoroscopy or CT). Explore the medical clinical policy bulletins that Aetna uses to decide which services and procedures we will cover. Jan 29, 2026 · Are two initial codes reported [one for the cervical (64633) and one for the lumbar level (64635)], or is this reported with the initial code for the thoracic level (64633) plus the add-on code from the lumbar level (64636)? Feb 22, 2026 · CPT® Code 64633 in section: Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT) We would like to show you a description here but the site won’t allow us. CPT Code 64633 is a medical procedural code for destroying somatic nerves by chemical, thermal, electrical or radiofrequency methods. This intervention is typically performed to alleviate pain associated with conditions affecting the cervical or thoracic spine. Jan 29, 2025 · Neurolytic Destruction of the Nerves (RFA) For neurolytic destruction of the nerves innervating the T12-L1 and L1-2 paravertebral facet joints, use 64633 and 64636 once. g. This includes any code ranges that are considered Reserved for National Assignment. Therefore, it would not be appropriate to bill procedure codes 64490-64495 (injection procedure codes for facet joint or facet joint nerve) in addition to procedure codes Apr 25, 2021 · Use this page to view details for the Local Coverage Article for Billing and Coding: Facet Joint Interventions for Pain Management. csp hhq ifk xvx rcp zxc mas tyg wov yiu avf oyu ghr xtl dhn