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Pain Management - position to lesion

  1. #11
    Location
    amarillo texas
    Posts
    10
    Default Coding 64400 - physician anesthetizes
    Medical Coding Books
    Hi ,Kimberly


    The physician anesthetizes a branch of the trigeminal nerve in 64400, the facial nerve in 64402, or the greater occipital nerve in 64405. The trigeminal nerve supplies sensory and motor fibers to the face, and is usually blocked superficially. The facial nerve supplies motor fibers to the muscles of facial expression. The greater occipital nerve supplies sensory fibers to the scalp. The physician draws a local anesthetic into a syringe and injects it into the branch of the nerve to be anesthetized.

    Hope this will help you.

    Myadav, CPC

  2. #12
    Location
    amarillo texas
    Posts
    10
    Default Coding 64400
    hi

    The physician destroys a portion of the trigeminal nerve to block pain or motor control to the face or scalp. Destruction is accomplished by injecting the nerve with alcohol or phenol. In 64600, a supraorbital, infraorbital, mental, or inferior alveolar branch of the trigeminal nerve is destroyed. In 64605, the second and third division branches at the foramen ovale are destroyed. Report 64610 if the second and third division branches at the foramen ovale are destroyed under radiologic monitoring.

    MYadav, CPC

  3. #13
    Location
    Woodland Hills, CA
    Posts
    121
    Default
    Hello all,
    I have a question regarding CPT codes 64622 and +64623.
    This is what this certain documentation reflect: "Radiofrequency rhizotomy of the right lumbar medial branch nerves at L2, L3, L4, L5, and S1, needle localization.
    How would you code this?
    Thank you in advance,
    Lilit
    CPC CCS
    "The true way to render ourselves happy is to love our work and find in it our pleasure."

  4. #14
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    Lilit,
    those are the correct codes, I actually responded under another forum heading with those codes for you.

    Mary, CPC,CPC-ORTHO

  5. #15
    Location
    Woodland Hills, CA
    Posts
    121
    Default
    Hello all, I am having such a hard time with these codes.
    Can someone break down this for me?
    When documentation states "bilateral cervical facet medial nerve blocks at C3, C4, C5, C6, and C7 (Please note, these are separated by commas) levels," is the coding of this kind of documentation any different than if it was documented as "C3-C4, C4-C5, C5-C6, C6-C7 ((Please note, these are separated by dashes), ?????
    Would you code this scenario as
    64470-50 C3-C4
    64472-50 C4-C5
    64472-50 C5-C6
    64472-50 C5-C7

    Would you code the same way if it was C3, C4, C5, C6, C7 as supposed to
    C3-C4, C4-C5, C5-C6, C6-C7

    My question might be silly, but I need someones help.

    Thanks in advance,
    Lilit
    CPC CCS
    "The true way to render ourselves happy is to love our work and find in it our pleasure."

  6. Default using mod 50
    how would you code :
    1-64622
    2-64623 times3
    3-77003 with mod.50

  7. #17
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    77003 is only codable one time per spinal region. It is not eligible for the 50 modifier

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