Article Revisions: February 2020

The medical policies and related articles can be found in our Medical Policy Center.

Billing and Coding: Facet Joint Injections, Medial Branch Blocks, and Facet Joint Radiofrequency Neurotomy (A57826)

The Group 2 Paragraph section has been revised to indicate that CPT code 64625 should be used to report non-thermal radiofrequency modalities for facet joint denervation including chemical and low grade thermal energy (<80 degrees Celsius). Pulsed radiofrequency ablation should be reported using CPT code 64999. CPT code 64999 has been added to CPT/HCPCS Codes Group 2.

Billing and Coding: Magnetic Resonance Angiography (MRA) (A56747)

Effective 10/1/2019, ICD-10 code I67.5 (Moyamoya disease) has been added to covered diagnoses for MRA of the head and neck.

Billing and Coding: Pain Management (A52863)

The guideline for pulsed radiofrequency has been revised to indicate that CPT code 64999 should be used. For dates of service on or after 01/01/2020, CPT code 64625 should be used to report radiofrequency ablation whether performed using traditional or cooled radiofrequency (<80 degrees Celsius). CPT code 64999 has been added to CPT/HCPCS Codes Group 4.

Billing and Coding: Transvenous Phrenic Nerve Stimulation in the Treatment of Central Sleep Apnea (A57548)

Based on Transmittal 4390 - FY 2020 IPPS and LTCH PPS Changes, the ICD-10-PCS procedure code information in the “CPT/HCPC paragraph” section has been updated to indicate that 0JH60DZ and 05H03MZ should be billed in combination with ICD-10-PCS procedure code 05H33MZ or 05H43MZ.

Posted 2/24/2020