tci Medicare Compliance & Reimbursement - 2009 Issue 3

CODING COACH: Use These 3 Easy Tips for Headache-Related Nerve Blocks

Correct 64400 and 64405 coding helps ensure payment. If your practice is looking to add bilateral occipital or trigeminal nerve blocks as a headache-relief service to your patients, there are a few tips you can use to ensure proper coding and reimbursement. Take a look at what doctors and coders are doing to bring relief to patients and payment to the practice. Step 1: Know the Blocks' Purpose and Location For bilateral occipital or trigeminal nerve blocks, you'll be using codes 64405 (Injection, anesthetic agent; greater occipital nerve) or 64400 (Injection, anesthetic agent;trigeminal nerve, any division or branch)...

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