Wiki Third Occipital Nerve Block and Ablations

JNALoomis

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I'm just curious how many people have had issues with providers and TON(third occipital nerve) blocks/ablations.

I've found lots of documentation to support using 64490/64633 for the blocks and ablations that take place between the c2-c3 spine. My providers want to use the peripheral codes 64450/64640 - I'm basically at a stand off with my providers at this point, understanding their point but not feeling comfortable changing my coding based solely on their demands, it's creating an issue.

Any help or resources would be helpful!

Thank you!
 
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