AAPC - Back to school
Results 1 to 3 of 3

Thread: Clarifying 64415

  1. #1
    Join Date
    Apr 2007
    New Port Richey & Gulf to Bay

    Question Clarifying 64415

    AAPC: Back to School
    Hello Everyone,

    I have a question in regards to a post operative nerve block:

    The provider mentions doing the following:

    Infraclavicular Bracial Plexus Block: Left
    - Intercostobrachial Nerve Block also performed
    - Musculocutaneous Nerve Block to the insertion of the coracobrachialis muscle

    Axillary Brachial Plexus Nerve Block: Left

    Now, would this be coded as 64415 twice? From my understanding 64415 is used for a single nerve injection. Therefore would it be appropriate for 64415 to be listed 3-4 times? What about the Musculocutaneous Nerve Block? Would that be reported as a brachial block or a trigger point injection? Thank you all for your help.

  2. #2
    Join Date
    Apr 2007


    "The physician draws a local anesthetic into the syringe and injects it into the brachial plexus, approached in one of three locations: intrascalene, supraclavicular, or axillary."

    Above is from Encoder,
    I was wondering if the block would be billed per approach. Not per mutiple needles placed for the same approach. Not really sure tried to look at the anatomy pictures at this link http://en.wikipedia.org/wiki/Brachial_plexus
    But not billing enough of these to have already searched for the answer like if I had already encountered the question you are presenting.

  3. #3
    Join Date
    Apr 2007


    Be careful of the intercostobrachial..depending on approach, and where they actually inject, you may want to look at billing for an intercostal nerve block...which is 64420 for single.

Similar Threads

  1. Clarifying 64415
    By Kevinph84 in forum Outpatient Facilities
    Replies: 0
    Last Post: 01-20-2011, 10:37 AM
  2. Help clarifying description cpt 96110
    By Lora Cimino in forum Pediatrics
    Replies: 1
    Last Post: 05-25-2010, 01:57 PM
  3. clarifying icd 9 code
    By Cary1229 in forum Diagnosis Coding
    Replies: 2
    Last Post: 02-10-2010, 12:16 PM
  4. 64415 - I have a CRNA
    By Alisha Lemmons in forum Anesthesia
    Replies: 2
    Last Post: 01-28-2009, 06:04 AM
  5. 64415 - My questions is can we bill
    By louettayg in forum Anesthesia
    Replies: 3
    Last Post: 12-08-2007, 01:21 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.