sarab86
Guru
Need some help here. In 2020 there are now codes for Nerve blocks and Radiofrequency done at the nerves that innervate the sacroiliac joint. 64451 and 64625
My question is if a provider performs a Medical Branch Block from L4-5, L5-S1 ans S1-S2 how would that now be coded? In the past we have used 64450 for S1-S2 because that is actually a lateral branch block there. However CPT says now that you are not to report 64451 with 64493-64495. So would he no longer be able to extend the block down past S1? At times he does L5-S1, S1-S2, and S2-S3.
Any guidance would be appreciated. I have called AAPM and Decision Health and got no help, as well as 2 different webinars and none of the proctors would answer my question.
My question is if a provider performs a Medical Branch Block from L4-5, L5-S1 ans S1-S2 how would that now be coded? In the past we have used 64450 for S1-S2 because that is actually a lateral branch block there. However CPT says now that you are not to report 64451 with 64493-64495. So would he no longer be able to extend the block down past S1? At times he does L5-S1, S1-S2, and S2-S3.
Any guidance would be appreciated. I have called AAPM and Decision Health and got no help, as well as 2 different webinars and none of the proctors would answer my question.