Question Erector Spinae Plane Catheter with Ultrasound Guidance

prattkm

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Good Afternoon All! We have a provider that is performing a newer block. The Erector Spinae Plane Catheter with Ultrasound Guidance. We are looking at the 64999. Does anyone have any experience or recommendations on this coding?

Provider stated that has had been looking for Thoracic Peripheral Nerve Continuous Catheter or Other Peripheral Nerve Catheter.

Thank you in advance for your help!
Kelly Pratt CPC, CPC-I, COBGC, FELLOW
Medical Coding Supervisor – PMO Medical Coding Operations - SLUCare Physician Group
Supporting Departments: Anesthesia, Derm, ENT, and OB/GYN
321 N. Spring Ave.
Saint Louis, MO 63108
314-977-5720 - Phone
314-977-9788 - Fax
Kelly.Pratt@health.slu.edu
 
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Hello, CPT Assistant Jan. 2018 states it should be reported with the unlisted code. Here's the scenario provided in the FAQ:

... the needle is inserted at the T5 transverse process under ultrasound guidance? A local anesthetic test dose was delivered and a catheter was threaded.
A second FAQ in Dec. 2018 reiterates that ESP blocks are reported with 64999.

Hope that helps!
 
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