Please note this question was answered in 2022. The coding advice may or may not be outdated.
Synovial cyst aspiration at same level as radiofrequency ablation
Date: Feb 18, 2022
Question:
Question ID 16092 and earlier guidance seems to indicate that a synovial cyst aspiration is bundled into any spinal injection (transforaminal or medial facet). Procedures done in this instance were right L4/L5 facet synovial cyst aspiration (64999) and bilateral L3 (64635-50), L4 (64636-50) medial branch, and L5 (64636-50) dorsal ramus radiofrequency ablation. Would synovial cyst aspiration also be bundled into a dorsal ramus radiofrequency ablation since it was done at the same level as ablation?
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