can we bill for 2 peripheral catheters??

millortsui

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Hi there,

I have a patient which our doctor placed 2 continous catheters on both pop fossa nerve and saphenoous nerve. My question are:

1. can I code 64449 2 times?

2. do anyone get pay under this scenario?

thanks
 

dwaldman

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I noticed that Medicare's Medically Unlikely Edits has quantity of 2, which I assume means you can bill twice. But other than that I am not sure to the answer of your question. Did he establish in the notes the necessity of having two?
 

millortsui

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well, the physician had done 2 injections on pop fossa block and sephenous nerve block. Then he noted that he did "continous catheter insertion".

so I think I can code it as

64449
64450 x 2

or should I code it as 64449 x 2 with 64450 x 2.

it is a common scenario.

he did not note it what there were a need for 2 or more injections. He just noted what he didi.
 
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