Question:
When the physician performs a medial branch endoscopic rhizotomy at L3, L4, and L5 on the right side, would three units of code 64772 be reported? In addition, if the procedures were performed bilaterally, how should they be reported?
Answer:
There is no specific CPT code to describe an endoscopic rhizotomy procedure. Therefore, code 64999, Unlisted procedure, nervous system, should be reported for the entire procedure as a single unit and without appending a modifier. When reporting an unlisted code to describe a procedure or service, it is necessary to submit supporting documentation (eg, procedure report) along with the claim to provide an adequate description of the nature, extent, and need for the procedure; and the time, effort, and equipment necessary to provide the service.
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