tci ED Coding & Reimbursement Alert - 2007 Issue 12

Reader Question: Look for Nerve Block on Trigeminal Neuralgia Encounters

Question: A patient reports to the ED reporting severe pain on the right side of her face. The ED physician performs a level-two E/M to discern the source of the pain, and diagnoses the patient with trigeminal neuralgia. The physician then performs a nerve block with tetracaine dissolved in bupivacaine, prescribes clonazepam and sends the patient home. Will insurers reimburse for a nerve block in this situation? Texas Subscriber Answer: They certainly should. Many patients with trigeminal neuralgia (also known as tic douloureux) require nerve blocks to alleviate symptoms associated with the condition. Just make sure your diagnosis coding...

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