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Hospitals billing for Nerve Block

  1. Default Hospitals billing for Nerve Block
    Medical Coding Books
    My question surrounds nerve block which is being done with a physician order. (cpt codes 64400 – 64450). We are following the guidelines with regards to giving the pain management pre or post op, and not during anesthesia and we have a managed care payor asking us to prove medical necessity. What is medical necessity for pain. Can anyone tell me if they are doing this in their hospital and if they have had any challenges getting it reimbursed.

  2. #2
    Columbia, MO
    look at the 338 codes and the guidelines for pain codes. which in summary state that when the procedure is for pain control/pain management then you use the 338.xx code for pain.

    Debra A. Mitchell, MSPH, CPC-H

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