CPT® Code 64623

Deleted

Destruction by neurolytic agent, paravertebral facet joint nerve; lumbar or sacral, each additional level (List separately in addition to code for primary procedure)

Paravertebral facet joints, also known as zygapophyseal joints, are critical structures located on the posterior aspect of the spine, situated on each side of the vertebrae where one vertebra overlaps another. The procedure described by CPT® Code 64623 involves the destruction of the paravertebral facet joint nerve using a neurolytic agent, specifically targeting the lumbar or sacral regions of the spine. This procedure is typically performed when conservative treatments have failed to alleviate pain associated with conditions affecting these joints. The use of a neurolytic agent, which can include substances such as phenol, ethyl alcohol, glycerol, ammonium salt compounds, and hypertonic or hypotonic solutions, aims to disrupt the nerve pathways responsible for transmitting pain signals. The procedure is conducted under fluoroscopic guidance to ensure accurate placement of the needle and agent, enhancing the effectiveness of the treatment while minimizing potential complications. This code is specifically used for each additional level treated, following the primary procedure, which is reported separately. Understanding the anatomy and function of the facet joints, as well as the techniques employed in this procedure, is essential for medical coders and billers to ensure accurate coding and reimbursement.