Sternocostal injections

cnaugle

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How should sternocostal injections be coded and billed for pain management?

20600 small joint injection
64421 Intercostal nerve block (multiple)
OR
some other way?
Thanks for any and all help!
 
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ndhight

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I am not sure, but I don't think you would use 20600. Because 64421 says injection of agent. So wouldn't that be the only code you would use? Was it single nerve or multiple, regional block?
 

cnaugle

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multiple -- the doctor keeps using 20600 small jt inj.
I am just starting to second quess myself -- I keep changing it to the 64420 or 64421 intercostal nerve blocks. Just wanted someone's opinion. Thanks.
 
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