tci ED Coding & Reimbursement Alert - 2015 Issue 7

Reader Questions: Clear Your Dental Nerve Block Claims

Question: A patient presents in the emergency department with a toothache. The ED physician performs a nerve block. Is 64402 the correct code to report for this case? New Jersey Subscriber Answer: Typically, dental blocks involve a branch of the trigeminal nerve rather than the facial nerve, For the dental nerve block, code out 64400 (Injection, anesthetic agent; trigeminal nerve, any division or branch). The mandibular nerve is a branch of the trigeminal nerve, not the facial nerve. So don’t use 64402 (…; facial nerve) for this scenario. ...

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