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Thread: paracervical block with procedure

  1. #1
    Join Date
    Apr 2007
    Grants Pass

    Default paracervical block with procedure

    AAPC: Back to School
    When billing a paracervical block, CPT 64435, along with an inoffice surgery ie: 58563-hysteroscopy with endometrial ablation, what is the proper modifier to add to the paracervical block? -51 or -59?

  2. #2


    I would go for -59 to show it is not a component of the major procedure (so that it is not bundled one) and that it is a separate and distinct procedure-a therapeutic nerve block performed by the same physician. Any more suggestion please?

  3. #3
    Join Date
    Apr 2007


    You may want to check the NCCI edits on this one. I believe the paracervical block is considered an integral component of 58563 with no modifiers allowed.

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