What is the CPT code for genicular nerve ablation?
Be Prepared for New and Revised CPT Codes for Somatic Nerve Injections and Destruction
| CPT Code | CPT Descriptor |
|---|---|
| 64624 | Destruction by neurolytic agent, genicular nerve branches including imaging guidance, when performed |
Is genicular nerve block experimental?
Genicular nerve blocks and genicular nerve ablation are considered experimental and investigational for all other indications.
What is a genicular nerve block?
A Genicular nerve block is a procedure where these nerves are anesthetized (“blocked”) with local anesthetic injected through small needles. The procedure is performed with live x-ray guidance (fluoroscopy) to ensure proper needle placement. It generally takes 5 to 10 minutes for the procedure.
What is genicular nerve ablation?
Genicular nerve ablation is a procedure to relieve pain originating in the genicular nerves. The genicular nerves are sensory nerves located in the knee. As a result of injury to this area or certain medical conditions, these nerves can become aggravated, causing pain.
How do you code a nerve block?
The CPT code set for nerve blocks is 64400-64530 Peripheral nerve blocks-bolus injection or continuous infusion: 64400 Injection, anesthetic agent; trigeminal nerve, any division or branch.
How do you bill genicular nerve block?
Effective in 2020, there is a CPT code specific to this procedure: Code 64454 – Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed.
Is genicular nerve block covered by Medicare?
Does Medicare Cover Genicular Nerve Block? If other more conservative treatments have been unsuccessful, then Medicare will approve coverage for a Genicular nerve block. Genicular nerve blocks are investigational and not medically necessary.
How do I bill for Genicular nerve block?
Is 64450 an add on code?
These therapies are not to be coded using CPT code 64450. This code addresses the additional work of an injection of an anesthetic agent(s) (nerve block) and/or steroid by a qualified health care professional within their scope of practice.
Does CPT code 64450 need a modifier?
The peripheral block is bundled into the joint injection, but in this instance the practice could use a modifier to break the edit pair and report both services. Before July 1 – The practice must append the modifier to 64450, the column two code. After July 1 – The practice may append the modifier to 20611 or 64450.
How many genicular nerves are there?
Genicular nerves consist of 6 relevant branches: Superior lateral (SL) Superior medial (SM) Inferior lateral (IL) Inferior medial (IM)