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CODING AND REIMBURSEMENT - Iovera

This information is provided for general reference and informational purposes only. Each health care provider is ultimately responsible for determining the appropriate codes, coverage, and payment for individual patients. Pacira does not guarantee third-party coverage or payment for the Iovera treatment or reimburse for claims that are denied by third-party information is provided for general reference and informational purposes only. Each health care provider is ultimately responsible for determining the appropriate codes, coverage, and payment for individual patients. Pacira does not guarantee third-party coverage or payment for the Iovera treatment or reimburse for claims that are denied by third-party more information on Iovera and for Important Safety Information, visit , CODING ANDREIMBURSEMENTThe Iovera systemPlease see Important Safety Information at Iovera system is used to destroy tissu

deep genicular treatment only† 64624 $804.72 $149.69 total $804.72 $149.69 deep genicular and single peripheral (anterior) nerve treatment‡ (no ultrasound for anterior) 64624 $804.72 $149.69 64640 (50% of rate because considered a second procedure) $93.17 $60.37 100% $186.33 $120.73 total $897.89 $210.06 deep genicular and single peripheral ...

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