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Thread: Fascia Iliaca Block

  1. #1

    Default Fascia Iliaca Block

    AAPC: Back to School
    I need a CPT code for fascia iliaca block for post-op pain (hip ORIF). Has anyone come across this before?

  2. #2
    Join Date
    Apr 2007
    Lincoln, NE


    I would need more information before I could code out the service. Can you post the procedure note of the block placement?

    Julie, CPC

  3. #3
    Join Date
    Apr 2007
    Denver Colorado


    Some providers use the fascia iliaca block as a technique to inject the femoral nerve and lateral cutaneous femoral nerve. I would check with your physician if he was blocking the femoral nerve with this approach, if so then look at 64447 for single or 64448 for continous infusion.

    Here is one link that I found with info on the fascia iliaca block: http://www.usra.ca/upload/UIA/200711...ca%20Block.pdf

    This is similar to physicians referring to a interscalene or supraclavicular block for a brachial plexus block. They are describing the technique rather than the actual nerve or plexus being injected.

  4. #4

    Default fascia iliaca block

    You had wrote that some providers use the fascia iliaca block as a technique to inject the femoral nerve and lateral cutaneous femoral nerve. What code would you use if the doctor wasnt blocking the femoral nerve.

    thank you


  5. #5


    Should NOT use 64447, which is for injection of the femoral nerve, not the lateral femoral cutaneous nerve. The lateral femoral cutaneous nerve block would be reported with 64450.

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