GENICULAR NERVE BLOCK AND ABLATION NEW CPT CODES AND GUIDELINES

Effective January 1, 2020. New CPT(64624 and 64454) added for nerve ablation and nerve injection.

ABLATION(eg, Chemical, Thermal, Electrical or Radiofrequency):

 

CPT 64624(Destruction by neurolytic agent, genicular nerve branches including imaging guidance, when performed)

Pay attention to this, the CPT 64624 requires the destruction of each of the following genicular nerve branches: (Make sure your Provider had documented this!)

Superolateral

Superomedial

Inferomedial

(Do not report 64624 in conjunction with 64454)

If destruction not done for all of the above 3 branches, then you can report CPT 64624 but you MUST append MODIFIER 52.

INJECTION(NERVE BLOCK):

When your Physician is Blocking the Knee Genicular Nerves - here's your code: (pay attention with the imaging! it is included!).

CPT 64454(Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches; including imaging guidance, when performed (Make sure your Provider had documented this!)

Superolateral

Superomedial

Inferomedial

(Do not report 64454 in conjunction with 64624).

If all 3 of these genicular nerve branches are not injected, then you can report CPT 64454 but you MUST append MODIFIER 52.