Head’s up! New payment rates for Pain Management procedures for 2020 have been released.
Also – there will be two new RFA codes in 2020
64624 – GENICULAR NERVE BRANCHES, RADIOFREQUENCY
$417.56 in office / $152.66 outpatient
64625 – SACROILIAC JOINT NERVES, RADIOFREQUENCY
$510.31 in office / $201.74 outpatient
Please note! These are replacing two previously questionable procedures that did not have dedicated codes. For the Knee RFA, docs had to choose nerve block or other unlisted codes. For the SI RFA, docs leaned towards 64635 x 1, 64640 x 3
Now both codes will have dedicated and specific coding and pricing.
Please begin using these codes 1/1/20. Remember! Prior authorizations for these procedures will need to use the new codes in January as well.