Destruction of Intraosseous Basivertebral Nerve (March 2022)

March 2022 page 10 Destruction of Intraosseous Basivertebral Nerve For the Current Procedural Terminology (CPT®) 2022 code set, two new Category I codes (64628, 64629) were added to the Destruction by Neurolytic Agent (eg, Chemical, Thermal, Electrical or Radiofrequency), Chemodenervation subsection of the Nervous System section to describe the thermal destruction of the intraosseous basivertebral nerve. This article provides an overview of these new codes. Destruction by Neurolytic Agent (eg, Chemical, Thermal, Electrical or Radiofrequency), Chemodenervation Somatic Nerves  64628Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first 2 vertebral bodies, lumbar or sacral  64629each additional vertebral...

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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 premium CPT Assistant article explains a March 2022 update to CPT 2022 involving new coding for thermal destruction of the intraosseous basivertebral nerve. It is relevant to coders, physicians, and reimbursement staff working in pain management, spine, orthopedics, or related procedural specialties who need to understand the scope of the new reporting guidance and the context in which it was introduced. The article also includes background discussion, parenthetical guidance, and illustrative clinical procedure examples.

Why This Topic Matters

Coding changes for newer spine and pain procedures can affect claim accuracy, documentation review, and code selection. This article helps readers recognize that the CPT code set was updated and that related guidance was added around the procedure family.

Article Sections

  1. March 2022 page 10

    Publication and article placement information for the March 2022 CPT Assistant issue.

  2. Destruction of Intraosseous Basivertebral Nerve

    Overview of the CPT 2022 update covering a new procedure family and related guidance within the nervous system section.

  3. Clinical Example (64628) and Description of Procedure (64628)

    Illustrative scenario and procedural narrative associated with the primary service example.

  4. Clinical Example (64629) and Description of Procedure (64629)

    Illustrative scenario and procedural narrative associated with the add-on service example.

What You Will Learn

  • What the article covers in the CPT 2022 update
  • How the new procedure family is situated within CPT
  • What kinds of supporting guidance and examples are included
  • Which specialties and procedural contexts the article may affect

Who Should Read This

  • Professional coders
  • Physician billing staff
  • Compliance teams
  • Pain management practices
  • Spine and orthopedic practices

Codes Discussed


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