Wiki greater and lesser occipital blocks

BrandiF

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If the physician makes one injection, then fans the medication to cover both the greater and lesser occipital nerves, is it appropriate to bill both the 64405 and 64450?
 
I have a physician that is not as efficient....also the distance between the two injections is far to "fan". He made two separate injections: one injection for Greater Occiptal and one for Lesser Ocippital. What to code? 64405 x 2? 64405 & 64450?
 
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