Wiki Rt lower extremity neuroma injection with insulated needel and nerve stimulation

[NESmith]

Little help PLEASE. What CPT code would be used for a Right lower extremity neuroma injection with insulated needle and nerve stimulation? I don't believe I have ever heard of this procedure. As always, THANKS so much.

 

[dwaldman]

Nerve stimulation for determination of level of paralysis or localization of nerve(s). (Codes for EMG services are for diagnostic purposes for nerve dysfunction. To report these codes a complete diagnostic report must be present in the medical record.)

http://www.cms.gov/NationalCorrectCodInitEd/

Chapter 2 page 7

Above from the NCCI manual stating nerve stimulation for location of nerve(s) not separately reportable.

As seen below with 64455 they state morton's neuroma can be billed with a nerve block code, I don't know if the means 64450 can also be reported for the LE nerve block you are reporting for blocking a neuroma

Injection(s), anesthetic agent and/or steroid, plantar common digital nerve(s) (eg, Morton's neuroma)

 

[NESmith]

Thank You dwaldman, however did you get so smart on these matters. Please give me some of your secrets.

 

[dwaldman]

The secret is: sharing of ideas about coding is as important as placing the codes into the software.