Billing and Coding: Facet Joint Interventions for Pain Management

This Billing and Coding Article provides billing and coding guidance for Local
Coverage Determination (LCD) L34892, Facet Joint Interventions for Pain
Management. Please refer to the LCD for reasonable and necessary requirements.  
  
**Coding Guidance**  
  
**Notice:** It is not appropriate to bill Medicare for services that are not
covered (as described by the entire LCD) as if they are covered. When billing
for non-covered services, use the appropriate modifier.  
  
**Diagnostic and Therapeutic Procedures:**  
  
Each paravertebral facet level refers to either the facet joint, also called
the zygapophyseal joint **OR** the two medial branch nerves that innervate
each zygapophyseal joint.  
  
Each facet level has a pair of facet joints (one on the right side and one on
the left side of the spine). Unilateral or bilateral facet interventions may
be performed during the facet joint procedure (a diagnostic nerve block, a
therapeutic facet joint [intraarticular] injection, or a medial branch block)
injection, in one session. A bilateral facet nerve intervention is still
considered a single level intervention.  
  
For paravertebral spinal nerves and branch injections, image guidance
(fluoroscopy or computed tomography [CT]) is required for the performance of
CPT codes 64490, 64491, 64493, and 64494 with any injection contrast, which is
an included component of the code.  
  
As defined by the Current Procedural Terminology (CPT) Professional edition
code book, there are two distinct anatomic spinal regions for paravertebral
facet injections: cervical /thoracic (codes 64490, 64491) and lumbar/sacral
(codes 64493, 64494).  
  
For each initial, single level injection, diagnostic or therapeutic, performed
with image guidance (fluoroscopy or CT), use code 64490 (cervical or thoracic)
or code 64493 (lumbar or sacral).  
  
For any additional diagnostic or therapeutic procedures on the same day, use
add-on codes 64491 (cervical/thoracic) or 64494 (lumbar/sacral) to report
second level injections performed with image guidance (fluoroscopy or CT) in
addition to the primary procedure codes 64490 or 64493.  
  
**Note:** Each unilateral or bilateral intervention at any level should be
reported as one unit of service (UOS).  
  
If an initial (64490 or 64493) or second level add-on (64491 or 64494)
paravertebral facet injection procedure is performed bilaterally, report the
procedure with modifier -50 as a single line item using one UOS. Do not use
modifier RT or LT when performing these procedures bilaterally (modifier -50).

For unilateral paravertebral facet injection of the T12-L1 and L1-L2 levels or
nerves innervating that joint, use 64490 and 64494 once.

For bilateral paravertebral facet injection of the T12-L1 and L1 - L2 levels
or nerves innervating that joint, use 64490 with modifier 50 and 64494 with
modifier 50.

For services performed in the Ambulatory Surgical Center (ASC), do not use
modifier 50. Report the applicable procedure code on two separate lines, with
one unit each and append the -RT and -LT modifiers to each line.  
  
For CPT codes 64492 and 64495, the need for a three-level procedure may be
considered under unique circumstances and with sufficient documentation of
medical necessity on appeal.  
  
**KX modifier requirements:**  
  
The KX modifier should be appended to the line for all diagnostic injections.
In most cases the KX modifier will only be used for the two initial diagnostic
injections. If the initial diagnostic injections do not produce a positive
response as defined by the LCD and are not indicative of identification of the
pain generator, and it is necessary to perform additional diagnostic
injections, at a different level, append the KX modifier to the line. Aberrant
use of the KX modifier may trigger focused medical review.  
  
**Neurolytic Destruction Procedures (Radiofrequency Ablation):**  
  
For destruction of paravertebral facet joint medial branch nerves, image
guidance and localization (fluoroscopy or CT) are required and inclusive in
codes 64633, 64634, 64635, and 64636.  
  
Per the current CPT Professional edition code book, codes 64633, 64634, 64635,
and 64636 are reported per joint, not per nerve. Although two nerves innervate
each facet joint, only one unit per code may be reported for each joint
denervated, regardless of the number of nerves treated. There are two distinct
anatomic spinal regions for paravertebral facet destruction: cervical/thoracic
(codes 64633, 64634) and lumbar/sacral (codes 64635, 64636). For each initial,
single level thermal radiofrequency destruction performed with image guidance
(fluoroscopy or CT), use code 64633 (cervical or thoracic) or code 64635
(lumbar or sacral).

For any additional thermal radiofrequency destruction performed on the same
day, use add-on codes 64634 (cervical/thoracic) or 64636 (lumbar/sacral) in
addition to the primary procedure codes 64633 or 64635.  
  
**Note:** Each unilateral or bilateral intervention at any level should be
reported as one UOS.  
  
If initial (64633 or 64635) or each additional add-on (64634 or 64636)
paravertebral neurolytic destruction procedure is performed bilaterally,
report the procedure with modifier -50 as a single line item using one UOS. Do
not use modifier RT or LT when performing these services bilaterally (modifier
-50).

For services performed in the Ambulatory Surgical Center (ASC), do not use
modifier 50. Report the applicable procedure code on two separate lines, with
one unit each and append the -RT and -LT modifiers to each line.  
  
Non-thermal facet joint denervation (including chemical, low grade thermal
energy [<80 degrees Celsius] or any other form of pulsed radiofrequency)
should not be reported with CPT codes 64633, 64634, 64635 or 64636. These
services should be reported with CPT code 64999. CPT code 64999 is non-covered
when used to report non-thermal facet joint denervation.  
  
 **Note:** CPT code 64999 is non covered when used to report non thermal facet
joint denervation including chemical, low grade thermal energy (less than 80
degrees Celsius) or any form of pulsed radiofrequency.  
  
**Note:** When reporting CPT code 64999 ensure that the description of the
service is included on the claim.  
  
If facet joints are injected with biologicals or other substances not
designated for this use the entire claim may deny per CMS IOM _Medicare
Benefit Policy Manual_ , Chapter 16, Section 180-Services Related to and
Required as a Result of Services Which Are Not Covered Under Medicare.

**Utilization Parameters**  
  
 **Note:** A session is defined as all procedures (i.e., MBB, IA, facet cyst
ruptures, and destruction by a neurolytic agent (e.g., RFA) performed on the
same date of service.  
  
CPT codes 64490 through 64494 will be limited to no more than four (4)
sessions, per region, per rolling 12 months.  
  
CPT code 64490 through 64494 with the KX modifier will be limited to no more
than four (4) sessions, per region, per rolling 12 months.  
  
CPT codes 64633 through 64636 will be limited to no more than two (2)
sessions, per region, per rolling 12 months.  
  
**Documentation Requirements**

  1. All documentation must be maintained in the patient's medical record and made available to the contractor upon request.
  2. Every page of the record must be legible and include appropriate patient identification information (e.g., complete name, dates of service[s]). The documentation must include the legible signature of the physician or non-physician practitioner responsible for and providing the care to the patient.
  3. The submitted medical record must support the use of the selected ICD-10-CM code(s). The submitted CPT/HCPCS code must describe the service performed.
  4. The medical record must include the assessment of the patient by the performing provider as it relates to the complaint of the patient for that visit, relevant medical history, and the results of any pertinent tests/procedures.
  5. Documentation of why the patient is not a candidate for radiofrequency ablation (RFA) must be submitted for therapeutic injection procedures.
  6. The scales used to assess the measurement of pain and/or disability must be documented in the medical record. Acceptable scales include but are not limited to: verbal rating scales, Numerical Rating Scale (NRS), Visual Analog Scale (VAS) for pain assessment, Pain Disability Assessment Scale (PDAS), Oswestry Disability Index (ODI), Oswestry Low Back Pain Disability Questionnaire (OLBPDQ), Quebec Back Pain Disability Score (QBPDS), Roland Morris Pain Scale, Back Pain Functional Scale (BPFS), and the Patient-Reported Outcomes Measurement Information System (PROMIS) profile domains to assess function.