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CPT 64628: Image-Guided Thermal Ablation of Basivertebral Nerve
CPT code 64628 represents image-guided thermal ablation of an intraosseous basivertebral nerve, used for treatment of vertebral body–originating pain. The code covers the first two lumbar or sacral vertebral bodies treated in a session and reflects a minimally invasive spine intervention that has grown in clinical attention as an option for chronic vertebrogenic pain. Nationally, this procedure matters because it affects utilization patterns in outpatient surgical settings and informs payer coverage policies for spine pain interventions.
Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The analysis addresses payer coverage trends and benchmarking where available and highlights the procedural context for hospital outpatient departments and ambulatory surgical centers.
Readers will learn what CPT code 64628 denotes clinically, which payers are commonly relevant for coverage considerations, and what types of benchmarks and policy updates are typically examined for procedures of this type. The publication provides clinical context for the service, summaries of typical sites of service, and notes where input data are not available. Data not available in the input are explicitly identified so readers understand the scope of the report.
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Billing Code Overview
CPT code 64628 describes a procedure in which a provider uses a thermal (heat) method under imaging guidance to destroy an intraosseous basivertebral nerve. This procedure is intended to treat pain originating from the vertebral body by targeting the basivertebral nerve within the bone.
Service type: Image-guided thermal ablation of intraosseous basivertebral nerve
Typical site of service: Hospital outpatient department or ambulatory surgical center, using fluoroscopic or other imaging guidance to locate and ablate the basivertebral nerve within lumbar or sacral vertebral bodies.
Data not available in the input.