October 1, 2020

Question:
My doctor did a destruction of the superolateral and superomedial genicular nerve. Is there a CPT code for this procedure and can I report imaging guidance?

Answer:
You would report 64624-52 (reduced services). The code includes all of the following branches: superolateral, superomedial, and inferomedial. CPT directs that if all 3 of these genicular nerve branches are not injected, a 52 modifier (reduced services) is required. Imaging is included in the code and not reported separately Since only two branches were destroyed Modifier 52 is required with 64624.

*This response is based on the best information available as of 10/01/20.