AHA Coding Clinic® for HCPCS - 2015 Issue 4; Ask the editor

Psoas compartment block

Patient experiencing post-laminectomy syndrome was admitted for a psoas compartment block. Under local anesthesia, the needle was inserted towards the left L5 spinous process and advanced using the loss of resistance technique. The total volume of 30-bupivacaine without preservative was injected in three equal parts with intermittent aspiration. Advancement of the needle and placement was verified with the injection of contrast. After the final injection, the needle was removed intact. Patient tolerated the procedure well. Would a non-catheter procedure be reported with 64449, Injection, anesthetic agent; lumbar plexus, posterior approach, continuous infusion by catheter (including catheter placement) with modifier 52 to indicate that a catheter was not used?  ...

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