Neurology & Pain Management Coding Alert

Question: Encounter notes indicate that the provider performed anesthetic injections to three intercostal levels. How should I report this encounter? Can I report all three injections?

Alabama Subscriber

Answer: Yes, you can all three injections. On the claim, report:

• 64420 (Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level) for the first injection.
• +64421 (… intercostal nerve, each additional level (List separately in addition to code for primary procedure)) x 2 for the second and third injections.