What is procedure code 64650?
The CPT codes are: 64650: Chemodenervation of eccrine glands; both axillae. 64653: Other area(s) (e.g., scalp, face, neck), per day. (Report the specific service in conjunction with code(s) for the specific substance(s) or drug(s) provided.)
When do you use CPT code 64640?
CPT code 64640 is applicable to iovera° treatments applied to peripheral nerves and is used to bill for EACH of the peripheral nerve branches treated.
Is CPT 64635 and injection?
The following CPT codes need to be listed separately in addition to a code for the primary procedure: 64491, 64494, 64634, and 64636….Group 1.
| Code | Description |
|---|---|
| 64494 | Inj paravert f jnt l/s 2 lev |
| 64633 | Destroy cerv/thor facet jnt |
| 64634 | Destroy c/th facet jnt addl |
| 64635 | Destroy lumb/sac facet jnt |
What is neurolytic agent?
A neurolytic agent such as alcohol, phenol, or glycerol is typically injected into the nervous system. Chemical neurolysis causes deconstructive fibrosis which then disrupts the sympathetic ganglia. This results in a reduction of pain signals being transmitted throughout the nerves.
What does Chemodenervation mean?
Chemodenervation is the blockade of neuronal signaling at the neuromuscular junction using botulinum neurotoxin (BoNT). Chemical neurolysis is the application of a chemical agent directly to a nerve or motor point to intentionally interfere with nerve conduction through destruction of a portion of the nerve.
Is Chemodenervation the same as Botox?
Botox®, a neurotoxin made from a substance called botulinum toxin, is well known as an anti-aging “wrinkle-remover,” but it can also be used non-cosmetically as a treatment known as chemodenervation. Chemodenervation can help people with movement disorders caused by a variety of conditions.
What is destruction by neurolytic agent?
A neurolytic block is the targeted destruction of a nerve or nerve plexus. Frequently, the term neuroablation is used to also describe the physical interruption of pain either chemically, thermally, or surgically. All neurolytic techniques cause Wallerian degeneration of the nerve axon distal to the lesion.
Can CPT code 64640 be billed bilaterally?
When this service is done at the lumbar, thoracic, or cervical level it is allowed at only one unit unless bilateral or if additional levels are done then the add on code is necessary for payment.
Is 64635 covered by Medicare?
Medicare is establishing the following limited coverage for CPT/HCPCS codes: 64490, 64491, 64493, 64494, 64633, 64634, 64635, and 64636. Note: ICD-10 Codes M71. 30 or M71. 38 are allowed for facet cyst rupture procedures only.
How do I bill CPT 64635?
Note: Each unilateral or bilateral intervention at any level should be reported as one unit. If initial bilateral paravertebral neurolytic destruction is performed, code 64633 or 64635, signify by appending the modifier -50.