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Thread: pain managment coding

  1. #1

    Default pain managment coding

    AAPC: Back to School
    How would you code a ganglion of Walther (impar) block?
    MD dictated in op report that using fluroscopic guidance spinal needle was advanced through the sacrococcygeal joint to lie just anterior to the sacrococcygeal juction.
    Would this be coded 64520 with 77003 or????

  2. #2
    Join Date
    Apr 2007


    thats what I would use, of course adding the TC modifier on the 77003.

  3. #3
    Join Date
    Apr 2007
    Denver Colorado


    Ganglion impar (Walther's ganglion) is not anatomically the same location as the lumbar sympathetic plexus. It is located anterior to the coccyx. Per the Sept 2007 CPT Assistant, code 64999 should be reported for a ganglion impar injection.

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