Updated ISASS Policy Guideline for Interosseous Basivertebral Nerve Ablation
ISASS published updated policy guidelines in November 2022 for Interosseous Basivertebral Nerve Ablation. The index 2020 ISASS Guideline Statement “Intraosseous Ablation of the Basivertebral Nerve for the Relief of Chronic Low Back Pain” was generated in response to growing requests for background, supporting literature, evidence, and proper coding for intraosseous basivertebral nerve ablation. Since the 2020 guideline was published, the American Medical Association (AMA) has added Current Procedural Terminology two category I codes for basivertebral nerve ablation: 64628 and 64629. Additionally, the AMA has recognized a need for greater specificity in differentiating various types of low back pain and has designated the International Classification of Diseases, 10th revision, Clinical Modification code M54.51, Vertebrogenic Low Back Pain, to ensure correct diagnosis. These additions provided an opportunity to refresh the ISASS Guideline to ensure proper diagnosis and procedural coding and to update the supporting literature and evidence.