CPT^® 64451, Under Introduction/Injection of Anesthetic Agent (Nerve Block), Diagnostic or Therapeutic Procedures on the Somatic Nerves

The Current Procedural Terminology (CPT^®) code 64451 as maintained by American Medical Association, is a medical procedural code under the range - Introduction/Injection of Anesthetic Agent (Nerve Block), Diagnostic or Therapeutic Procedures on the Somatic Nerves.

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Summary

The provider injects an anesthetic and/or a steroid under imaging guidance into the nerves supplying the sacroiliac joint to diagnose and/or treat sacroiliac joint pain.

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Pain Management 64451 versus 64493

[QUOTE="bdcoyne8, post: 504055, member: 209601"] It sounds like they are wanting to treat the sacroiliac portion of the spine so I would only code the 64451 since they can't be billed together. Bill f... [ Read More ]

Appropriate use of 64451

The provider is performing the following procedures: [LIST=1] [*]Fluoroscopically guided bilateral lumbar medial branch nerve blocks of the L3 and L4 levels. [*]Fluoroscopically guided bilateral prima... [ Read More ]

Pain Management 64451 versus 64493

It sounds like they are wanting to treat the sacroiliac portion of the spine so I would only code the 64451 since they can't be billed together. Bill for what they is wanting to treat. We have that wi... [ Read More ]

Pain Management 64451 versus 64493

[QUOTE="bdcoyne8, post: 504014, member: 209601"] They are based on the joints. If you pull up an image, you will see the sacroiliac joint is on the sides of the vertebrae (more in the pelvis). The par... [ Read More ]

Pain Management 64451 versus 64493

64451 is for injection, [I][U]anesthetic agent[/U][/I], nerves innervating the [I][U]sacroiliac joint;[/U][/I] 64493 is for injections, [I][U]diagnostic or therapeutic agent[/U][/I], paravertebral fac... [ Read More ]

Pain Management 64451 versus 64493

They are based on the joints. If you pull up an image, you will see the sacroiliac joint is on the sides of the vertebrae (more in the pelvis). The paravertabral facets are in the actual spinal column... [ Read More ]

Pain Management 64451 versus 64493

Can anyone tell me the difference between 64451 and 64493? 64451-states Injection of anesthetic; [B]nerves innervating the sacroiliac joint[/B] Versus 64493 states Injection of paravertebral facet ... [ Read More ]

RFA Sacroiliac joint, L5, S1, S2 and S3

[QUOTE="mah3434, post: 466804, member: 244400"] Which place of service are you billing this in? We are getting denials stating it is not performed in the correct place of service. [/QUOTE] So we are L... [ Read More ]

Please help..... SI RFA and Genicular RFA Medicare Advantage plans

I am having a lot of issues from Aetna Medicare not covering the 64451, 64454, 64624 and 64625, stating that these codes are experimental and investigational. However they are a payable and covered co... [ Read More ]

64405 after 2020?

Lori Cox writes in [URL='https://www.aapc.com/blog/51009-ncci-q2-updates/']NCCI Q2 Updates:[/URL] "Q2 NCCI MI changes apply to the nerve block codes discussed above. Prior to this update, nerve block ... [ Read More ]

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