nerve block

  1. R

    Wiki pudenal nerve branch blocks

    Hi! We have started doing pudendal nerve branch blocks prior to labial/vaginal sclerotherapy for patient comfort. I could really use your help in developing coding and billing codes for coverage for this. I think the procedure code may be: pudendal nerve plexus block #64430. Would this be...
  2. R

    Wiki Migraine Nerve Block Injections

    Hi! My provider and I disagree with the proper codes for migraine/nerve block injections. One of us believes 64615 covers all of the below. The other thinks that there is money that could be left on the table. Could someone help settle this so we can properly code these charts, please? Below is...
    • rissa1017
    • Thread
    • migraine nerve block pain block pain management
    • Replies: 2
    • Forum: Anesthesia
  3. J

    Wiki Modifiers

    cpt question: 64405 is a nerve block injection occipital. Insurance is rejecting it and asking for modifier. What modifier should be used and where did you find it if you can?
  4. C

    Wiki 51/59 Nerve Block Modifiers - bundling issue

    Hello- I work for a neurology office - having some difficulty with a bundling issue. On an extreme case I could bill for one patient: 64450 64405 20553 64615 96372 How i was trained - typically I would use: 64450 - 50, 59 64405 - 59 20553 64615 96372 - 59 BCBS - pays for all minus 20553 -...
    • certick
    • Thread
    • bundling modifier 51 modifier 59 nerve block trigger point
    • Replies: 1
    • Forum: Modifiers
  5. S

    Wiki Adductor Canal Code

    Would you code 64447 (femoral nerve block) or 64450?
  6. S

    Wiki ilioinguinal nerve botox coding

    My physician did a therapeutic ilioinguinal nerve block and neurolysis with botox under ultrasound guidance. I would normally code the nerve block as 64425 but I am having trouble with the chemodenervation code for the botox of the ilioinguinal nerve. Coding guidelines for the destruction by...
    • sarthur
    • Thread
    • botox chemodenervation ilioinguinal nerve block
    • Replies: 4
    • Forum: Anesthesia
  7. H

    Wiki 76942 (ultrasound guidance) denied with nerve block

    Hi All, Ultrasound guidance (76942) is being denied by Oxford when billed with a nerve block code (64413, 64445, etc.). We have tried to appeal saying you need the guidance to ensure precision of the needle however, they are still denying it. :mad: Anyone run into this problem and found a...
  8. B

    Wiki Medicare denying Ultrasound Guidance used with Regional Block Placement

    Since January, CMS has been denying about 85% of our claims for ultrasound guidance 76942-26. Our anesthesiologists use ultrasound guidance when placing nerve blocks for post-operative pain control (sciatic/femoral/etc). Some of our appeals have resulted in the claim being reprocessed, but...
    • Billing500
    • Thread
    • 76942 anesthesia denial nerve block ultrasound guidance
    • Replies: 3
    • Forum: Anesthesia
  9. R

    Wiki cryoablation ilioinguinal nerve cpt code help

    Can someone please help me find a px code for this? So far-I think I'll have to use 64999. CT-guided cryoablation of right ilioinguinal nerve between the transversus abdominis and internal oblique muscles at the anterior superior iliac spine. EBL: None. Specimens: None. Consent: Informed...
  10. W

    Wiki SPG Block (64505 and 64400) using SphenoCath

    What is the correct way to bill for a SPG Block that is done with the SphenoCath device? The SphenoCath device rep provided the following response when I suggested the correct code was the unlisted code (64999) since the SphenoCath uses an intranasal approach to deliver topical lidocaine to the...
  11. D

    Wiki Cluneal Neve Block of Iliac Crest Cpt

    Does anyone know what Cpt code would be used for a Cluneal nerve block of the iliac crest?...I am thinking 64450 but not sure...I would really appreciate any input...thank you Liz
    • Dizzylz
    • Thread
    • cluneal crest iliac iliac crest nerve block
    • Replies: 1
    • Forum: Anesthesia
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