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tci ED Coding & Reimbursement Alert - 2023 Issue Q1
You Be the Coder: Double Digital Block
Question: Encounter notes indicate that the ED provider performed a digital block on two levels of a patient’s intercostal nerve. Should I report 64420 x 2?
AAPC Forum Subscriber
Answer: No, you should report:
64420 (Injection(s), anesthetic agent(s) and/ or steroid; intercostal nerve, single level) for the first-level injection
+64421 (… intercostal nerve, each additional level (List separately in addition to code for primary procedure)) for the second-level injection
Remember: Only use +64421 with 64420 — not with any of the other codes for anesthetic agent/steroid injections.
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