Results 1 to 3 of 3

paracervical block with procedure

  1. #1
    Grants Pass
    Default paracervical block with procedure
    Medical Coding Books
    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. Default
    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. Default
    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.

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. ParaCervical Block with a Cystosscopy?
    By tondan777 in forum Billing/Reimbursement
    Replies: 1
    Last Post: 03-12-2014, 09:01 PM
  3. Facial nerve block & retrobulbar nerve block
    By seslinger in forum Anesthesia
    Replies: 1
    Last Post: 04-19-2012, 10:16 AM
  4. Replies: 2
    Last Post: 02-22-2011, 11:53 AM
  5. coding off from a hand written procedure from the procedure doctor
    By vsmith in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 01-18-2010, 09:06 AM

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.