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.
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