Results 1 to 3 of 3

help coding CT guided glossopharyngeal block

  1. #1
    Default help coding CT guided glossopharyngeal block
    New Call-to-action
    How would you code the following procedure?

    ...patient was placed in the supine position. Imaging line was visualized on the Rt side from the mastoid process to the angle of the mandible and the styloid process. The skin was prepped and using a 22-guage 1.5 inch needle, local % lidocaine was injected into the rt side of the face. Once visualized on the CT scanner, the appropirate landmarks were identified and advancement was placed at midpoint location in a perpendicular plain to the skin. The styloid process was seen the needle was withdrawn and advanced just beyond the styloid process posteriorly. Careful aspiration revealed no blood or CSF. Approximately 5 ml of 0.125% bupivacaine, as well as 40 mg of Depo Medrol was injected.

    Would you code this as a 64450 peripheral nerve block? 64402 facial nerve block? My doc's are in disagreement on this because of the locationa & CT use. Any direction would be greatly appreciated.
    Last edited by PEH350; 11-15-2010 at 08:36 AM.

  2. #2
    What is the physician state it should be. I had looked at the anatomy of the face a long time trying to fiqure out which code would best describe it in the past when there was question similiar to this. And what is he in disagrement due to the CT guidance, how is that effecting his point of view? Again the physician who performed it can state if he felt that this injection would have therupeutic effect on the facial nerve and/or that was the intent or if other peripheral has to be used because it did not.

  3. #3

    Thank you very much. The code for facial nerve will discribe the procedure the physicians are looking for much better than peripheral nerve block.

Similar Threads

  1. Post Op Pain Block with Regional nerve block
    By lcole7465 in forum Anesthesia
    Replies: 2
    Last Post: 06-27-2015, 09:40 AM
  2. need help coding a digital block
    By monica@hands in forum Orthopaedics
    Replies: 1
    Last Post: 06-06-2012, 03:04 PM
  3. Coding for Nerve Block
    By medresource01 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 08-01-2011, 01:08 PM
  4. Rib Block Coding
    By Thumper72 in forum Billing/Reimbursement
    Replies: 3
    Last Post: 07-05-2011, 09:01 AM
  5. Pain Block Coding
    By vmidla in forum Anesthesia
    Replies: 6
    Last Post: 07-09-2009, 11:09 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.