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Rt lower extremity neuroma injection with insulated needel and nerve stimulation

  1. #1
    Default Rt lower extremity neuroma injection with insulated needel and nerve stimulation
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    Little help PLEASE. What CPT code would be used for a Right lower extremity neuroma injection with insulated needle and nerve stimulation? I don't believe I have ever heard of this procedure. As always, THANKS so much.

  2. #2
    Nerve stimulation for determination of level of paralysis or localization of nerve(s). (Codes for EMG services are for diagnostic purposes for nerve dysfunction. To report these codes a complete diagnostic report must be present in the medical record.)

    Chapter 2 page 7

    Above from the NCCI manual stating nerve stimulation for location of nerve(s) not separately reportable.

    As seen below with 64455 they state morton's neuroma can be billed with a nerve block code, I don't know if the means 64450 can also be reported for the LE nerve block you are reporting for blocking a neuroma

    Injection(s), anesthetic agent and/or steroid, plantar common digital nerve(s) (eg, Morton's neuroma)

  3. #3
    Thank You dwaldman, however did you get so smart on these matters. Please give me some of your secrets.

  4. #4
    The secret is: sharing of ideas about coding is as important as placing the codes into the software.

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