Coding Clarification: Reporting Paravertebral Facet Joint Nerve Destruction Codes (64633-64636) (February 2015)

February 2015 page 9 Coding Clarification: Reporting Paravertebral Facet Joint Nerve Destruction Codes (64633-64636) To better describe the work involved in performing paravertebral facet joint nerve destruction, new codes (64633 -64636 ) were established for the Current Procedural Terminology (CPT®) 2012 code set. Prior to 2012, injections of the facet nerves were differentiated based on the anatomic location and the number of levels (ie, single, second, and any additional level[s]) at which these procedures were performed. Destruction by neurolytic agent of the facet nerves is now reported based on the number of facet joints that are treated using...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This February 2015 CPT Assistant article reviews coding clarification for paravertebral facet joint nerve destruction procedures and the related CPT 2012 code family. It is relevant for coders, physicians, and billing staff who work with interventional pain management and spine procedures. The article discusses how the service is structured by spinal region and facet joint level, the handling of bilateral and additional-level reporting, what documentation should be present, and related guidance on included services and an unlisted-procedure fallback reference.

Why This Topic Matters

Accurate reporting for these spine pain procedures depends on understanding the CPT code family structure, documentation expectations, and how related procedural circumstances affect reporting. This helps support correct claim submission and consistent coding practices.

Article Sections

  1. Coding Clarification: Reporting Paravertebral Facet Joint Nerve Destruction Codes (64633-64636)

    Introduces the topic and places the guidance in the context of CPT code updates and changes to how these procedures are described.

  2. Code structure and reporting principles

    Explains the general organization of the code family by spinal region and facet joint level, along with related reporting concepts.

  3. Documentation and included services

    Summarizes the documentation elements discussed in the article and notes the types of related procedural services addressed in the guidance.

  4. Coding Tip

    Provides a brief coding tip about alternate reporting for a related scenario involving a different guidance method.

What You Will Learn

  • How the article frames the CPT code family for paravertebral facet joint nerve destruction
  • What broad reporting themes are discussed for region-based and level-based coding
  • What documentation topics the article says should be captured in the medical record
  • What related services and alternate-reporting topics are mentioned

Who Should Read This

  • Physicians
  • Medical coders
  • Billing staff
  • Pain management practices
  • Interventional spine specialists

Codes Discussed

  • CPT: 64633
  • CPT: 64634
  • CPT: 64635
  • CPT: 64636
  • CPT: 64999

Code Ranges Discussed

  • CPT: 64633-64636

Modifiers Discussed

  • CPT: 50
  • CPT: 51

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