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Thread: Penile block-64450

  1. #1

    Default Penile block-64450

    AAPC: Back to School
    In previous conferences we received information to code for the penile block using cpt 64450 with modifier 59. This is usually performed with a meatoplasty, circumcision etc. Recently we have been getting edits on this combination. Is anyone aware of the guidelines changing for this?


  2. #2
    Join Date
    Apr 2007
    Nashville AAPC Chapter


    64450 is considered inclusive when the RVU values are determined. It it bundled into the primary CPT code because the physician has to do a block and is considered "typical" work for a meatoplasty or circumcision.

    So billing with a 59 modifier and unbundling is not appropriate.

    Compare it to a laceration repair, the physician has to numb the area in order to suture a wound.

  3. #3


    I agree with the above. The block became inclusive it seems at least 4-5 years ago. Mod -59 to try and bypass payer or CCI edits is not appropriate

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