64634 Destroy c/th facet jnt additional
Also known as: cervical/thoracic facet ablation additional levels, multi-level medial branch ablation
Destruction of the cervical or thoracic facet joint nerves for each additional joint beyond the first.
In Plain Language
additional levels neck/upper back facet pain relief
Clinical Context
Used when multiple cervical or thoracic facet joints require ablation.
RVU Breakdown
| Work RVU | 1.29 |
| Total RVU | 1.29 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 1.29, this code ranks in the 7th percentile among Surgery codes — 6.2x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 64634?
CPT 64634 (Destroy c/th facet jnt additional) is a Surgery code. Destruction of the cervical or thoracic facet joint nerves for each additional joint beyond the first.
What is the wRVU value for CPT 64634?
The work RVU for CPT 64634 is 1.29. This code is primarily used by Pain Management, Orthopedic Surgery.
When is CPT 64634 used?
Used when multiple cervical or thoracic facet joints require ablation.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.