Surgery: Nervous System (December 2008)

December 2008 page 9 Surgery: Nervous System, 64400 (Q&A) Question: If a provider injected two separate unilateral branches or divisions of the trigeminal nerve (eg, injected the right supraorbital branch [V1] and also injected the right infraorbital branch [V2]), would these injections be reported as two units of code 64400 or just one unit, as the code description states "any division or branch"? Marvel J. Hammer, RN., Denver, CO Answer: Code 64400 should be reported once for the injection into the right supraorbital nerve. Code 64400 with modifier 59, Distinct procedural service , appended should be reported for the...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article reviews a December 2008 CPT Assistant question and answer related to nervous system surgery coding, with emphasis on reporting injections involving different trigeminal nerve branches. It is relevant to coders, billers, and compliance staff who work with CPT reporting and modifier usage for peripheral nerve procedures. The discussion focuses on anatomy context, service reporting, and how the coding guidance is framed in a Q&A format.

Why This Topic Matters

It helps readers determine whether the article applies to coding and billing situations involving trigeminal nerve branch injections and related CPT reporting considerations.

Article Sections

  1. December 2008 page 9

    Introductory article identifier and source placement information for the CPT Assistant Q&A.

What You Will Learn

  • How the article frames reporting of nerve injection services involving trigeminal nerve branches
  • What anatomy context is discussed in relation to the coding question
  • How the Q&A format presents guidance for nervous system surgery coding topics
  • What general role modifier use plays in the article’s discussion

Who Should Read This

  • Medical coders
  • Billing staff
  • Compliance professionals
  • Physician practices
  • Revenue cycle teams

Codes Discussed

Modifiers Discussed


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