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EUS with celiac plexus block help please

  1. Default EUS with celiac plexus block help please
    Medical Coding Books
    Doctor performed a full egd with EUS and could not do a pancreatobiliary eus because there was too much food in the stomach/duodenum. Instead he did a celiac plexus block. So I put together the codes of 43259 and 64530 except 64530 is not allowed with 43259. Does anyone know another way to code this/does anyone know why these are bundled?



  2. #2
    Not sure if I can help, but...

    Our doctors used to do these years ago and we did report both with no problems with payment. Looking at the CCI edits now, it looks like it falls under the edit of "standards of medical/surgical practice." This means that one procedure is included and considered a component of the other procedure and you shouldn't code both together for reimbursement.

  3. #3
    ...also a modifier is not allowed on 64530, so you cannot report it..


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