Results 1 to 4 of 4

2nd request-New CCI edits for botox injections w/nerve blocks

  1. #1
    Location
    Everett, WA
    Posts
    886
    Default 2nd request-New CCI edits for botox injections w/nerve blocks
    Medical Coding Books
    Hope it's ok to repost this question and that perseverance will pay. I see where we can no longer use any modifier with the 64405, 64400, and 64450 codes when done in conjunction with the botox injections. 64612-64614 So, the doctor will still be allowed to be paid for trigger point injections, but not the nerve blocks? Just seems so odd. How shall our doctors adjust to these changes? Find something else to do ? ---Suzanne, CPC-A (candidate for "A" removal!)

  2. #2
    Default
    Why do you say that you can't use any modifier on those codes?

  3. #3
    Location
    Everett, WA
    Posts
    886
    Default
    Unless I'm totally failing to understand, according to the new CCI edits effective this fourth quarter, column 2 components of Column 1 code 64612 has a designator of "0". And again, please correct me if I am wrong, certain 6xxxx series of codes have been added, and "0" = no circumstances under which a modifier would be appropriate." Is my understanding totally off the wall?
    --Suzanne

  4. #4
    Location
    North Carolina
    Posts
    3,126
    Default
    I looked at, for example, 64612 and 64405 and the edits have a Zero (0) indicator. Your are correct...these two codes can not be unbundled with a modifier. Is this what you are referring to? If so...This particular edit was implemented 10-1-2005 per the CCI table; not a recent edit. Am I understanding your question correctly?

    (64612 64405 20051001 * 0)

Similar Threads

  1. 2 Nerve Block Injections - 2nd Request
    By celcano in forum Billing/Reimbursement
    Replies: 1
    Last Post: 10-08-2014, 10:39 AM
  2. 2nd REQUEST-Sclero Injections
    By dyoungberg in forum Cardiovascular Thoracic
    Replies: 3
    Last Post: 08-05-2014, 10:47 AM
  3. 2ND REQUEST-Hip,Knee & facet injections
    By dyoungberg in forum Anesthesia
    Replies: 4
    Last Post: 03-09-2013, 09:15 AM
  4. New CCI edits for botox injections w/nerve blocks
    By ollielooya in forum Anesthesia
    Replies: 0
    Last Post: 10-09-2009, 10:43 PM
  5. Botox injections, nerve blocks and M. 59
    By ollielooya in forum Anesthesia
    Replies: 8
    Last Post: 09-14-2009, 09:22 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.