Wiki 64415 - My questions is can we bill


San Diego, CA
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My questions is can we bill eg 64415, 64417, 64425 etc with any or all the of the other modes of anesthesia MAC, CLE, SAB
Nerve Blocks w/Anesthesia

I need feedback on the interpretation for billing nerve block done at the same time/session as the anesthesia by the same Anesthesiologist. I have a payor that states that the nerve block is bundled when the same Dr is performing the same medical or surgical service. They state that CMS agrees with this. Modifier 59 does not help. I would appriciate some websites that I can print out for back up.



Nerve Blocks

We have a Physiatrist who performs blocks such as 64415,64417 and 64425.
They donot require any mode of anesthesia. Our Doc feels that he needs the patient to be able to communicate the pain level prior to the block,during and after the block. We also do Radio Frequency procedures and recently did a Trail + Permanent Spinal Cord Stimulators(SCS) for pain relief.