It is the sole responsibility of the health care provider to correctly report all procedures and therapies. The following information is shared solely for informational and educational purposes.
The diagnosis associated with the use of cryoneurolysis with iovera° may include knee pain (ICD-10-CM code M25.56X) or osteoarthritis of the knee (M17.X). The X is replaced with “1” to identify the left knee and “2” to identify the right knee.
Anterior knee pain commonly involves the femoral nerve and most commonly the AFCN and 2 branches of the ISN. Other superficial nerves that innervate the knee such as the LFCN may also be involved. CPT code 64640 is applicable to iovera° treatments applied to peripheral nerves and is used to bill for EACH of the peripheral nerve or nerve branches treated.
Posterior knee pain can involve the following deep genicular nerves: superolateral (superolateral articulating branch of the common peroneal nerve), superomedial (superomedial articulating branch of the tibial nerve), and inferomedial (inferomedial articulating branch of the tibial nerve). CPT 64624 defines all 3 of the specified nerves as 1 billable unit and is used for iovera° treatments of the referenced nerves. In the event that all 3 nerves are not treated, a modifier is to be used. Contact the Reimbursement Helpline for additional information.
|Definition||Destruction by neurolytic agent; other peripheral nerve or branch||Destruction by neurolytic agent; genicular nerve branches including imagin; destruction of each of the following genicular nerve branches: superolateral, superomedial, and inferomedial|
|64640||Destruction by neurolytic agent; other peripheral nerve or branch|
|64624||Destruction by neurolytic agent; genicular nerve branches including imagin; destruction of each of the following genicular nerve branches: superolateral, superomedial, and inferomedial|
For in-depth iovera˚ reimbursement details, download the iovera˚ Coding and Reimbursement Guide.
We can support your team’s planning process when adopting the use of iovera° and address reimbursement needs that arise. Please feel free to contact the helpline even before iovera° is used, so that questions or potential reimbursement issues can be addressed ahead of time.