The General Services section of the MSC Payment Schedule has new provisional fee items starting September 1st, 2021. If you perform Percutaneous Radiofrequency Neurotomies, these fee codes pertain to you.
Keep in mind that in order to claim these fee codes, the procedure must be performed under medical imaging guidance (fluoroscopy or CT) with image capture, and by qualified physicians working in approved facilities. If neurotomies are performed in more than one anatomical region, the first branch in the second anatomical region will be paid at 50%. Included in the fee codes are anesthesia, sedation, or blocks if performed by the same physician.
Cervical
| P34101 – first branch | $240 |
| P34102 – second branch | $120 |
| P34103 – third to sixth branch (per branch) | $60 |
Thoracic
| P34101 – first branch | $200 |
| P34105 – second branch | $100 |
| P34106 – third to sixth branch (per branch) | $50 |
Lumbar
| P34107 – first branch | $200 |
| P34108 – second branch | $100 |
| P34109 – third to sixth branch (per branch) | $50 |
Sacral
| P34110 – unilateral | $330 |
| P34111 – bilateral | $550 |
Being informed on the fee codes that apply to your practice will guarantee you’re paid appropriately for your work. If you have any questions about this update, please don’t hesitate to get in touch with our team.
This article offers general information only and is not intended as legal, financial or other professional advice. A professional advisor should be consulted regarding your specific situation. While information presented is believed to be factual and current, its accuracy is not guaranteed and it should not be regarded as a complete analysis of the subjects discussed. All expressions of opinion reflect the judgment of the author(s) as of the date of publication and are subject to change. No endorsement of any third parties or their advice, opinions, information, products or services is expressly given or implied by RBC Ventures Inc. or its affiliates.
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