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Nerve Block Decision Quiz

Published on Thu Oct 02, 2003

Looking for a quick way to choose the correct nerve block code? Take this easy decision quiz. Question 1: Did the physician inject a neurolytic (nerve-destroying) or non-neurolytic (for instance: steroids, opioids, anesthetics, etc.) substance?
  If neurolytic: Go to question 2
  If non-neurolytic: Go to question 3. Question 2: Did the physician provide the injection to the subarachnoid space?
  If yes: Go to #1
  If no: Go to # 2 Question 3: Did the physician use an indwelling catheter or intermittent bolus to administer the solution?
  If yes: Go to # 3
  If no: Go to # 4 Question 4: Did the physician employ a transforaminal approach (common for treatment of herniated disks)?
  If yes: Go to # 4
  If no: Go to#5



 #1
Spinal level  Any/All      Your Code     62280
(Report additional injections using multiple units and modifier -51)



#2
Spinal level          Your code
Cervical or Thoracic   62281
Lumbar or Sacral       62282
 (Report additional injections using multiple units and modifier -51)


#3
 Spinal level           Your code
Cervical or Thoracic    62318
Lumbar or Sacral        62319
(Report additional injections using multiple units and modifier -51)


#4
Spinal level            Your code
Cervical or Thoracic   64479
(Report additional injections using +64480)

Lumbar or Sacral        64483
(Report additional injections using +64484)


#5
Spinal level           Your code
Cervical or Thoracic   62310
Lumbar or Sacral       62311
(Report additional injections using multiple units and modifier -51)
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