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Thread: greater and lesser occipital blocks

  1. #1
    Join Date
    Apr 2007
    Sioux Falls, SD

    Default greater and lesser occipital blocks

    AAPC: Back to School
    If the physician makes one injection, then fans the medication to cover both the greater and lesser occipital nerves, is it appropriate to bill both the 64405 and 64450?

  2. #2
    Join Date
    Apr 2007
    Athens, Ga.


    I would think not. One injection, therefore one code.
    Walker Bachman, CPC, CPPM

  3. #3
    Join Date
    Apr 2007
    Lafayette, LA

    Default occiptal block

    I would agree... one injection + efficent physician = happy patient
    Belinda Keeling, CPC, CANPC

  4. #4
    Join Date
    Apr 2007
    St. Joseph County, Indiana


    I have a physician that is not as efficient....also the distance between the two injections is far to "fan". He made two separate injections: one injection for Greater Occiptal and one for Lesser Ocippital. What to code? 64405 x 2? 64405 & 64450?

  5. #5
    Join Date
    Apr 2007


    one injection for greater occipital nerve 64405
    completely separate injection for the lesser occipital nerve 64450-51

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