• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
  • Important Note: We will be performing a scheduled maintenance on 1st November 2020. The site will be offline from 7:30PM (MT) till midnight. We apologize for any inconvenience this may cause.

Code 64421 ONQ pump


Best answers
It's my understanding that OnQ has a couple different types of pain management pumps. If it's the C-bloc, 64421 won't work because the C-bloc is a continuous peripheral nerve block. If code doesn't state "continuous infusion" it's not valid for that product so use the unlisted 64999. The payer might also be considering it part of the global surgical package that includes pain management, if done by the same surgeon that did the main procedure.

Good Luck!
Best answers
Good article in this month's AAPC journal Coding Edge about this very topic.

In summary, most payers consider the On-Q pump part of the primary procedure, but check with each payor to determine.