Wiki Genicular Nerve Block

[mgrimaldi]

If a physician is injecting multiple areas of the genicular nerve - (superior lateral, superior medial and inferior medial) would you bill 1 - 64450 or would you bill it quantity 3?

 

[dwaldman]

I was looking at if it was 3 separate branches with 3 separate injections. But couldn't find a lot information on the procedure in question. Hope you get an answer.

Injection, anesthetic agent; other peripheral nerve or branch

Branches

nerves

Common peroneal nerve

� slopes downwards on lateral side

� medial to biceps tendon

� disappears into substance of peroneus longus

� lies on neck of fibula

� lies successively on

� plantaris

� lateral head of gastrocnemius

� capsule of knee joint

� fibular origin of soleus

� divides into deep and superficial peroneal nerves


Peroneal communicating nerve

� pierces roof of fossa

� runs down to join sural nerve

Lateral cutaneous nerve of calf

� peirces roof of fossa

� supplies skin over upper anterolateral leg

Genicular nerves

� superior and inferior lateral

� travel with arteries of same name

� supply lateral knee jt

� recurrent genicular

� arises in substance of peroneus longus

� perforates tibialis anterior

� supplies capsule of superior TF jt and knee jt

Tibial nerve

� runs vertically down middle of fossa

� passes deeply between heads of gastrocnemius

� passes beneath fibrous arch of soleus

� enters calf

Branches

Sural nerve

� runs down superficially between heads of gastrocnemius

� pierces fascia halfway down calf

� replaces posterior cutaneous nerve of thigh

� joins peroneal communicating nerve

� close to small saphenous nerve

Genicular nerves

� superior and inferior medial

� accompany arteries of same name

� supply medial knee joint

� middle

� accompanies artery of same name

� pierces oblique popliteal ligament

� supplies cruciates