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Wiki IUD insertion w/paracervival block

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amyjpaine

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Florence, AZ
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I work with a provider who uses paracervical blocks for difficult IUD insertions and she wants to bill for the block. The description in my OBGYN coding companion for CPT 58300 states local anesthesia is included in the IUD insertion, but CCI edits state there are no bundling issues for 58300 and 64435. Is anyone billing the block with the insertion?
 
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I have found exactly the same thing and today received an EOB from Triwest with a denial stating disallowed because its procedure code is unbundled per Medicare.
 
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