tci Part B Insider - 2015 Issue 6

Reader Question: Be Ready to Send Documentation With Unlisted Code

Question: I’ve read that we should report 64999 for radiofrequency of the lumbar sympathetic chain, but one of our physicians insists that we should code with 64640. What’s the correct approach? Answer: CPT® currently does not include a code that represents radiofrequency destruction of the lumbar sympathetic chain. Because of this, the information you’ve read is correct: Submit 64999 (Unlisted procedure, nervous system). It can be difficult to get paid for “unlisted” codes, so drop the claim to paper and submit it with dictation and supporting documentation explaining the procedure. Background: The CPT® codebook separates...

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