Wiki TON 3rd Occipital Nerve Block CPT?

Create Wiki
N

ngrestl@gmail.com

New
Messages
7
Location
Syracuse, New York
Best answers
0
Hello, I have the same question. We have been billing 3rd Occipital as 64490 or 64633 with DxM53.81 per Encoder & CMS guidelines. Recently received a call about the medical director reviewing these and stated there was a different CPT for this? When I pull up in Encoder as of today, this is revised and going into effect as of 4/25/2021, with no mention as to what to do with these Occipital headache injections.
Now, it makes sense that the 64490 & 64633 were appropriate as this level is innervating the facet joint. I am afraid that going back to the 64450 Other PNB would be inappropriate
Any thoughts as to were to go from here as Much appreciated!
As of today till revision dated to expire 4/24/2021
1616965483531.png
As of revision dated for 4/25/2021
1616965516191.png
 
ngrestl@gmail.com said:
Hello, I have the same question. We have been billing 3rd Occipital as 64490 or 64633 with DxM53.81 per Encoder & CMS guidelines. Recently received a call about the medical director reviewing these and stated there was a different CPT for this? When I pull up in Encoder as of today, this is revised and going into effect as of 4/25/2021, with no mention as to what to do with these Occipital headache injections.
Now, it makes sense that the 64490 & 64633 were appropriate as this level is innervating the facet joint. I am afraid that going back to the 64450 Other PNB would be inappropriate
Any thoughts as to were to go from here as Much appreciated!
As of today till revision dated to expire 4/24/2021
View attachment 5209
As of revision dated for 4/25/2021
View attachment 5210
Click to expand...
Is the provider performing this with fluoroscopy or CT? In our clinic we are not using image guidance, so in my research I found that 64450 seemed more appropriate.
 
You must log in or register to reply here.
Top