AAPC - Back to school
Results 1 to 3 of 3

Thread: field block

  1. #1

    Default field block

    AAPC: Back to School
    Does anyone know how to code a field block of the abdominal wall? This is for a postoperative site.

  2. #2
    Join Date
    Apr 2007


    From the Atlas of Primary Care Procedures, I found "field block", =
    which appears to be a type of local anesthesia.

    "Field block anesthesia describes the infiltration of local anesthetic =
    in a circumferential pattern around a surgical site. Like nerve blocks, =
    field blocks are used to anesthetize large areas of skin. Field blocks =
    differ from nerve blocks in that more than one nerve experiences =
    interruption of the nerve transmission. The technique permits large areas =
    to be anesthetized, and it is useful for large dermatologic procedures. =
    The field block does not disrupt the architecture of the surgical site and =
    often is administered for facial or cosmetic repairs."

    But they don't also provide the codinig which could represent a procedure with a similiar technique that has a CPT or just an unlisted code.

  3. #3


    Field block is one type of regional block
    depending upon the area where the peripheral Nerve block is given.- inrelation to the umbilicus would help us to select the code:-

    Thoracoabdominal nerves T7-T11 - supplies(sensory) between internal oblique and transverse abdominal muscles and cutaneous supply:
    T7-T9 superior to umbilicus
    T10- at the level of umbilicus
    T11-inferior to umbilicus
    T12- (subcostal nerves)inferior to the umbilicus.
    L1- illiohypogastric - to the wall inferior to the umbilicus.
    L1- illioinguinal nerves- to the wall inferior to the umbelicus.

    In so saying, we may have to select from the 64420- 64425 and would have to append with-59 for any of these nerve block.

    I feel that filed block is a type of regional block , the regional block code 64421 would fit these scenerio.
    However experts in pain management coding would clarify it better for us!

Similar Threads

  1. Scalp Field Block for Post-Op Pain Mgmt
    By jonrowecin in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 12-18-2015, 08:15 AM
  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. Very New to the Field
    By JenAPerry in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 11-24-2009, 06:01 AM
  5. Field Block
    By Joan Prisco in forum Anesthesia
    Replies: 1
    Last Post: 07-21-2009, 10:22 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.