Wiki iud insert with cervical block

[klapetri@ilovemygyn.com]

Hi,

looking for some guidance on billing an iud insert with cervical block. Is the correct cpt code for cervical block 64435?
is cervical block cpt code payable by insurance? Or will it get bundled to the iud insert?
NY

 

[csperoni]

I am not aware of any carrier that does not consider blocks part of the procedure when performed by the physician providing the primary service.
This AAGL article specifies:
Anesthesia CPT Codes:
All anesthesia, local or regional, is considered integral to the procedure so cannot be billed separately. While nice to include a 64435 paracervical block, it would likely be denied. Local anesthetic for the subdermal implant is bundled into the code and providers are already being reimbursed for this service.