tci ED Coding & Reimbursement Alert - 2015 Issue 9

Reader Questions: Don't Let the Wrong Code Choice Block Your Pain Control

Question: Can I bill for Digital Nerve Blocks? What about dental blocks in the ED setting? Texas Subscriber Answer: For payers following CPT®  guidelines, this service, code 64450 (Injection, anesthetic agent; other peripheral nerve or branch) or any other type of nerve block can no longer be separately coded when performed as a component of a surgical procedure.  In this instance, a digital nerve block is clearly bundled as part of the global surgical package, as outlined in the CPT® Introduction to the Surgical section - Surgical Package Definition.  Under Medicare’s global services package rules...

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