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OCCIPITAL NEURALGIA AND HEADACHE - Health Plan of Nevada

OCCIPITAL NEURALGIA AND HEADACHE - Health Plan of Nevada

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64626<br />

Destruction by neurolytic agent, paravertebral facet joint nerve; cervical or<br />

thoracic, single level<br />

Destruction by neurolytic agent, paravertebral facet joint nerve; cervical or<br />

64627 thoracic, each additional level (List separately in addition to code for primary<br />

procedure)<br />

64722 Decompression; unspecified nerve(s) (specify)<br />

64744 Transection or avulsion <strong>of</strong>; greater occipital nerve<br />

64802 Sympathectomy, cervical<br />

64804 Sympathectomy, cervicothoracic<br />

64999 Unlisted procedure, nervous system<br />

CPT ® is a registered trademark <strong>of</strong> the American Medical Association.<br />

HCPCS Code (not<br />

medically necessary)<br />

E0720<br />

L8680<br />

L8683<br />

L8685<br />

Description<br />

Transcutaneous electrical nerve stimulation (TENS) device, two lead,<br />

localized stimulation<br />

Implantable neurostimulator electrode (with any number <strong>of</strong> contact points),<br />

each<br />

Radi<strong>of</strong>requency transmitter (external) for use with implantable<br />

neurostimulator radi<strong>of</strong>requency receiver<br />

Implantable neurostimulator pulse generator, single array, rechargeable,<br />

includes extension<br />

REFERENCES<br />

Acar F, Miller J, Golshani KJ, et al. Pain relief after cervical ganglionectomy (C2 and C3) for the<br />

treatment <strong>of</strong> medically intractable occipital neuralgia. Stereotact Funct Neurosurg. 2008;86(2):106-12.<br />

Afridi SK, Shields KG, Bhola R, et al. Greater occipital nerve injection in primary headache<br />

syndromes--prolonged effects from a single injection. Pain. 2006 May;122(1-2):126-9.<br />

Akın Takmaz S, Inan N, Uçler S, et al. Greater occipital nerve block in migraine headache:<br />

Preliminary results <strong>of</strong> 10 patients. Agri. 2008 Jan;20(1):47-50.<br />

Ambrosini A, Vandenheede M, Rossi P, et al. Suboccipital injection with a mixture <strong>of</strong> rapid- and longacting<br />

steroids in cluster headache: a double-blind placebo-controlled study. Pain. 2005 Nov;118(1-<br />

2):92-6.<br />

Amin S, Buvanendran A, Park KS, et al. Peripheral nerve stimulator for the treatment <strong>of</strong> supraorbital<br />

neuralgia: a retrospective case series. Cephalalgia. 2008 Apr;28(4):355-9.<br />

Anthony M. Cervicogenic headache: prevalence and response to local steroid therapy. Clin Exp<br />

Rheumatol. 2000 Mar-Apr;18(2 Suppl 19):S59-64.<br />

Occipital Neuralgia & Headache Page 16 <strong>of</strong> 21

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