Wiki occipital nerve block

[tdml97@yahoo.com]

HELP

I am having the hardest time with Medicare with this code 64405.

My problem is my doc is giving 3 shots & I can only get 1 paid.

Please - does anyone know the proper way to bill this to Medicare - I think that they will only cover 2 but not too sure on that either.

Thanks to whoever helps.

 

[JRalston]

Occipital Nerve Blocks

Hi,

Our physicians will typically do an occiptal block bilaterally and we are getting reimbursed 150% for both injections. I do not know about the billing of three injections as we have never needed to bill that many, but we definitely get reimbursed for two. Hope this info helps.

Jennifer Ralston, CPC
Diversified Management Services, LLC

 

[mcnaryk]

Hi,

Our physicians will typically do an occiptal block bilaterally and we are getting reimbursed 150% for both injections. I do not know about the billing of three injections as we have never needed to bill that many, but we definitely get reimbursed for two. Hope this info helps.

Jennifer Ralston, CPC
Diversified Management Services, LLC

I agree with Jennifer-and we've always billed ours as 1 line bilaterally, so 64405-50, and Medicare pays 150%.

 

[thiggs]

Ditto what Kristina stated.

 

[JOgielo]

Greater and Lesser

If the physician documents that he performed a greater and lesser occipital nerve block, is it proper to bill 64405 and 64450 with the Kenalog?