64636 Destroy l/s facet jnt additional
Also known as: lumbar/sacral facet ablation additional levels, multi-level lumbar medial branch ablation
Destruction of the lumbar or sacral facet joint nerves for each additional joint beyond the first.
In Plain Language
additional levels lower back facet pain relief
Clinical Context
Used when multiple lumbar or sacral facet joints require ablation for comprehensive pain relief.
RVU Breakdown
| Work RVU | 1.13 |
| Total RVU | 1.13 |
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 1.13, this code ranks in the 5th percentile among Surgery codes — 7.1x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 64636?
CPT 64636 (Destroy l/s facet jnt additional) is a Surgery code. Destruction of the lumbar or sacral facet joint nerves for each additional joint beyond the first.
What is the wRVU value for CPT 64636?
The work RVU for CPT 64636 is 1.13. This code is primarily used by Pain Management, Orthopedic Surgery.
When is CPT 64636 used?
Used when multiple lumbar or sacral facet joints require ablation for comprehensive pain relief.
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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.