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Thread: digital block

  1. #1

    Default digital block

    AAPC: Back to School
    Hello can someone please help on this, if my dr injects marcaine in the gums for tooth pain what is the cpt code? I found the facial nerve pain 64402 it just didn't seem right, and then the 96372 says subq or intramuscular and I'm not sure about that either. So any one who can help it is truly appreciated..alice

  2. #2

    Default dental block

    I use 64400 for dental blocks!!!

  3. #3

    Default injection

    Thank you but I can not find a procedure code for dental block, not in my cpt (unless I am looking wrong which could be) nor on 3m so can you/someone point me in the right direction...thank you

  4. #4

    Default injection

    I am so sorry I idiot i am i didn't see your code...thanks so much...alice

  5. #5


    I have always used 64402. I was told by my former manager that this is the code to use. If you do ICD-9 procedure codes it is 04.81

  6. #6

    Default blocks

    Thank you both so much for you'r help...alice

  7. #7


    I use 64400 per our dental surgeon.

  8. #8

    Default Dental block

    For coding dental block we have to use 64400 - Injection, anesthetic agent; trigeminal nerve, any division or branch

    64402 is for Facial Nerve.

    When we see anatomy of Cranial nerves it shows below :

    Facial nerve does not supply any branches to Gums and teeth

    Trigeminal nerve's Maxillary branch supplies to upper lip , gums, teeth, cheek, palate and pharynx.

    So we need to use Trigeminal nerve block.- 64400 for Dental block.

  9. #9

    Default Dental Block


    But What would be the code for below scenario

    Dental block done with 0.5 % bupivicaine, tooth #1, perapical. Initial injection of 2 cc was only partially effective. Second injection of same gave her complete relief.

    Can we code it as 64400,64400-59 or 64400 only.


  10. #10

    Default Dental block

    Hello Nandhakumar,

    We had came accross these senarios, that time we will use 64400 only .

    this is up to my knowledge , if any one have any updates will be appreciated .

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