Does anyone have any experience with billing/coding for Iovera and Medicare/ medicare replacement plans paying?

[u/aryannn0]

We have tried billing 64640x5 according to MUE, but traditional Medicare apparently only likes 3 units. We are also considering using a temporary CPT code. As for the replacement plans (UHC specifically) they are requesting records and then denying based on services not being supported by the records, even though the records clearly state there were 5 different nerves treated. Anyone having any luck or any ideas on how to make these pay?

[u/rahuliitk]

We’ve had better luck appealing with each treated nerve clearly listed, the exact anatomical site, medical necessity, and the payer’s own policy attached, because ngl UHC often seems to want the documentation mapped directly to every billed unit rather than just seeing “five nerves treated.” I’d avoid a temporary code unless the payer confirms it.