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Penile block-64450

  1. Default Penile block-64450
    Medical Coding Books
    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
    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. Default
    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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