Question Subcostal TAP Block

jacquien

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6
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Smyrna, GA
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Hello,

Our providers are doing Subcostal TAP Blocks and have been trying to use 64425. This is not an Intercostal Nerve Block, so I do not feel 64425 is appropriate. The procedure description is reading like a TAP Block 64486. Any assistance would be greatly appreciated.
 

mdeleon

Contributor
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18
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The question would be are they injecting the nerves or the rectus sheath. I'd be curious to see their documentation.
 
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1
Location
Yakima, WA
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I would be curious to know what anesthesia base value Is assigned to 64488, a bilateral TAP block and also if the ultrasound is included or can be separately billed.
 

LisaAlonso23

Expert
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356
Location
Sherman, TX
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I would be curious to know what anesthesia base value Is assigned to 64488, a bilateral TAP block and also if the ultrasound is included or can be separately billed.
TAP blocks are generally administered for post-op pain management and do not have an anesthesia base value. Per the 2021 Relative Value Guide, imaging guidance is included for all TAP blocks. Therefore, U/S may not be billed separately.
 
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