• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Trigemial nerve injection

Create Wiki
L

lcole7465

Expert
Messages
292
Location
Brooklyn, MI
Best answers
0
I'm going between to codes for this injection for pain management: 64400 & 64402. The op report states: Flourosocopy was used to identify landmarks including right tempromandibular joint and the lateral pterygoid plate. A 25 gauge needle was passed atraumatically to to contact the lateral pterygoid plate. Placement was confirmed after instillation of 3 milliliters of omnipaque dye which demonstrated appropriate spread. At this point 4 mg of Dexamthasone & bupivicaine was slowly and incrementally injected after negative aspiration.

I'm leaning more towards coding: 64400. Anyone who has some input, it would be greatly appreciated.

Thanks
 
I would request the doctor to document which nerve was targeted since the trigeminal nerve and facial nerve are in close proximity to the anatomy described in the procedure note. There are also techniques I saw described with an internet search of targeting the lateral pterygoid muscle. But since there are different reimbursement amounts the physician needs to identify what was targeted for treatment.
 
You must log in or register to reply here.
Top