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Thread: 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

    AAPC: Back to School
    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
    Join Date
    Apr 2007


    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
    Join Date
    Apr 2007


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

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