AHA Coding Clinic® for HCPCS - 2023 Issue 4; Ask the Editor

Pericapsular Nerve Group (PENG) Block

A patient was administered a pericapsular nerve group (PENG) block for pain control. After preparation, the left groin was exposed and the curvilinear probe was placed in an oblique orientation and the anterior superior iliac spine was identified. The skin was anesthetized with a 27g needle and 1 cc of Lidocaine 1%, using an in plane approach, the block needle was advanced under direct visualization until just below and lateral to the psoas tendon. After negative aspiration, small aliquots of anesthetic were used to hydro dissect the space in the pelvic brim, and the remainder of the anesthetic was deposited there. Appropriate spread of anesthetic was visualized through the pelvic brim. The patient tolerated the procedure well. How is the PENG block reported? ...

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