Originally Posted by dav4code
1 __ in full
2 __ Something
3 __ Nothing
for using an unlisted procedure code (64999) for a bier block?
We don't really do that procedure in my practice, so I'm not up on the reimbursement. Your question however, begs clarification. You ask if you will get paid "in full, some, or none". 64999 is an unlisted procedure code, and therefore not on the fee schedule, so therefore there is no such thing as paid "in full". You will submit the claim with the op report, and the payer will determine what they will allow based on similar procedures. What you get is what you get (unless you appeal..).