Wiki Hypogastric Nerve Block

[celcano]

My physician has billed for a bilateral superior hypogastric nerve block (64517-50) which hits an edit in our billing software. From what I could find, modifiers 50, LT and RT are not to be used. Can this be a bilateral procedure?
Thank you for any assistance.

 

[mhstrauss]

My physician has billed for a bilateral superior hypogastric nerve block (64517-50) which hits an edit in our billing software. From what I could find, modifiers 50, LT and RT are not to be used. Can this be a bilateral procedure?
Thank you for any assistance.

My opinion on this, is that since the superior hypogastric plexus (64517) is a more centralized structure, there's no bilateral allowance for the procedure.

 

[celcano]

Thank you, Meagan. I thought that, but since I still don't know a lot about pain management, wanted to be sure.