Wiki nerve block with excision of nail bed? Help please

[micki127]

Hello

Can I code for nerve block with excision of nail bed? I'm not sure if the block is included in the procedure.This is the procedure paragraph:

"4 mL of 1% lidocaine was used to anesthetize the toe, using a digital nerve block. He is still having some minor discomfort with the procedure after initial anesthesia, so an additional 4 mL was used with good lidocaine effect. Both the medial and lateral nail bed was excised, hemostasis was obtained, no complications."

I was going to use codes: 11750 and 64450

Thanks in advance for your help!

 

[prayercoder]

Nerve block is inclussive

Anesthesia administered by the provider is inclusive to the procedure. The nerve block can't be reported. The NCCI Manual state: "Local, topical or regional anesthesia administered by the physician performing the procedure is integral to the surgical procedure."