tci E/M Coding Alert - 2024 Issue Q3

Reader Questions: Meckel’s Ganglion Block

Question: A new patient with a dislocated right jaw is referred by the local hospital to a pain management practice for pain relief. After performing an evaluation and management (E/M) service that included low-complexity medical decision making, the physician decides to perform a block of “Meckel’s ganglion.” How should I code this encounter, and what is “Meckel’s ganglion”? AAPC Forum Subscriber Answer: Meckel’s ganglion is another name for the sphenopalatine ganglion, which is associated with the trigeminal nerve. On your claim, you should report: 64505 (Injection, anesthetic agent; sphenopalatine ganglion) for the block...

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