Coding for Trigeminal Neuralgia

Coding for Trigeminal Neuralgia

July 6, 2023

Question:
How is RFA rhizotomy of the trigeminal nerve at the second and third division branches of the foramen ovale? The diagnosis was Trigeminal Neuralgia

Answer:
This procedure is coded as 64605, Destruction by neurolytic agent, trigeminal nerve second and third division branches at foramen ovale. Code +77002 may also be reported if fluoroscopy is used, documented, and a permanent image is retained.

*This response is based on the best information available as of 07/06/23.

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