Prostate Bx

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I have a question in regards to Prostate Bx 55700 from what I understand 66450 (nerve block) is bundled into the 55700 if billing for it would it have to be an addtional block or Medical Nec,,, Example
Dr is doing the 55700 for elevated PSA and then in procedure note uses the DX of Neoplasm 239.9 for the block,,only one block is administered and the Dr is modifying the 66450 with 59. Does this support it or is it on shaky ground as I suspect
 

elenax

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I guess you mean 64450 because 66450 is not a valid code...on the CCI under the CPT 55700 the 64450 is listed with a '1' which mean that you can override it with a 59 if you have enough documentation to proof that it was a separate procedure, otherwise it will be included.
 
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