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​Billing Coding L5 Dorsal Ramus and S1, S2, S3 Lateral Branch Block

7/22/2021

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CPT 64451 64625 ​BILLING CODING L5 DORSAL RAMUS AND S1, S2, S3 LATERAL BRANCH BLOCK and RADIOFREQUENCY ABLATION OR RHIZOTOMY
CPT 64451 64625 ​BILLING CODING L5 DORSAL RAMUS AND S1, S2, S3 LATERAL BRANCH BLOCK and RADIOFREQUENCY ABLATION OR RHIZOTOMY
​What is CPT Code 64451? This is for the Block

64451, Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or CT computed tomography), should be reported once for this procedure. The fluoroscopic guidance should not be separately reported as it is included in the work described with code 64451.
  • Unilateral (Modifier LT, RT and 50 for Bilateral)
  • Imaging is inclusive
  • Do not report in conjuction with 64493, 64494, 64495, 77002, 77003, 77012, 95873, 95874
  • When performed under Ultrasound, use CPT Code 76999 instead of 64451
When you do your RFA or Radio Frequency Ablation, what CPT Code do you need to use?

Read below:

CPT CODE FOR SACROILIAC SI RFA FOR 2020 CPT 64625
January 1, 2020 - we now have a new Pain Management Code CPT 64625 - SI Ablation
Description of CPT Code 64625
Radiofrequency ablation, nerves innervating the sacroiliac joint, with imaging guidance (Fluoroscopic or Computed Tomography).
Keypoints to REMEMBER!
  • Do not report 64625 in conjunction with 64635, 77002, 77003, 77012, 95873, 95874
  • For radiofrequency ablation, nerves innervating the sacroiliac joint, with ultrasound,  use 76999
  • For Bilateral procedure, append 50 Modifier with 64625

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  • About
  • Services
    • Prior Authorization Services
    • Patient Access Services
    • Medical Scribe Services
    • Coding and Documentation Audit Review
    • ​E/M & Surgical Coding Education and Training
    • RCM FULL SERVICES
  • READ OUR BLOG
  • Let's Meet in Person
    • 2023 ORTHOPEDIC VALUE BASED CARE CONFERENCE
    • 2023 AAOS Annual Meeting of the American Academy of Orthopaedic Surgeons
    • 2023 ASIPP 25th Annual Meeting of the American Society of Interventional Pain Management
    • 2023 Becker's 20th Annual Spine, Orthopedic & Pain Management-Driven ASC Conference
    • 2023 FSIPP Annual Conference by FSIPP FSPMR Florida Society Of Interventional Pain Physicians
    • 2023 New York and New Jersey Pain Medicine Symposium
  • Testimonials
  • Frequently Asked Questions and Answers - GoHealthcare Practice Solutions
  • FREE ASSESSMENT
  • Readers Questions