Results 1 to 2 of 2


  1. Default SPLANCHNIC Block
    Medical Coding Books
    My doctor has listed the following as the procedure performed.

    2. 77003-26 FLUOROSCOPY

    Can I code from this? I am thinking that I need more information.


  2. #2
    How do I report a procedure where the splanchnic nerve is injected with phenol?

    AMA Comment

    Since the splanchnic nerve is part of the celiac plexus, and phenol is a neurolytic agent, you should report CPT code 64680, Destruction by neurolytic agent, celiac plexus, with or without radiologic monitoring.

    From reading this CPT Assistant article it is evident that for a non-neurolytic Splanchnic nerve block that 64530. 77003/77002 is a column two code per CCI edits and it would not be appropriate to separartely report the fluoro. At the facility I work at, we would need a procedure note describing the procedure procedure with what was injected. Indications for the procedures and post procedure complication or lack of complications should be noted. Also that the physician went over other treatment options and the risks involve with the procedure. For 99144 documentation of the conscious sedation with start and end time, what medication was provided, who the trained observer was would have to be there. With what you have these would be enough to do the pre cert but not enough to accurately document what was performed.

Similar Threads

  1. splanchnic sympathetic neurolysis via cryoablation/
    By jessicahocker in forum Anesthesia
    Replies: 1
    Last Post: 11-07-2015, 09:27 PM
  2. Post Op Pain Block with Regional nerve block
    By lcole7465 in forum Anesthesia
    Replies: 2
    Last Post: 06-27-2015, 09:40 AM
  3. Facial nerve block & retrobulbar nerve block
    By seslinger in forum Anesthesia
    Replies: 1
    Last Post: 04-19-2012, 10:16 AM
  4. Splanchnic Nerve Block vs Celiac Plexus Injection
    By katmarbar in forum Anesthesia
    Replies: 1
    Last Post: 03-07-2012, 09:50 PM

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?


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.