tci ED Coding & Reimbursement Alert - 2009 Issue 1

Reader Questions: Specific Code Knowledge Can Build Block Smarts

Question: A patient reports to the ED complaining of a severe toothache. The physician finds a tender molar in the lower half of the mouth. She performs a dental block on the patient and sends him home. What is the best code for the block? Michigan Subscriber Answer: It depends on which part of the mouth the physician injects. There are a pair of codes to represent dental blocks: - 64400 (Injection, anesthetic agent; trigeminal nerve, any division or branch) for blocks on the trigeminal nerve - 64450 (- other peripheral nerve or branch ) for blocks on any...

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