Search results
Results from the WOW.Com Content Network
Pain Management Coding Alert. Nerve Blocks: Keep Trigeminal, Occipital Blocks Separate. GON blocks = 64405. Some of the more common PM injections for patients with headaches and neck issues include anesthetic injections to the trigeminal and occipital nerves. Coders need to recognize each type of injection and be ready to code accordingly.
The provider injects an anesthetic and/or steroid agent into the greater occipital nerve, a nerve arising from the second cranial nerve, also called the optic nerve. Report this code for one or more injections during a single procedure. For clinical responsibility, terminology, tips and additional info start codify free trial.
Mar 3, 2009. #2. The lesser occipital nerve originates from the lateral branch of ventral portion of the C2 and sometimes the C3 spinal nerve. It provides sensory innervation to the lateral scalp area behind the ear. Report with 64450 as there isn't a specific code for lesser occipital nerve injection. Whereas the greater occipital nerve ...
Code 64405: If the surgeon performs a greater occipital nerve block without any radiologic guidance for the greater optical nerve, you should report 64405 (Injection, anesthetic agent; greater occipital nerve). Code 64450: If the surgeon diagnoses LON involvement, he may perform a block for the LON without radiological assistance.
0. Jun 4, 2014. #1. This is the first time our office has done an occipital nerve block injection AND trigger point injections. My physician wants to know if we can bill both 64405.50 and 20552 (bilaterally - 4 injections) together and if he can bill 99213-25 with that? Also he used Kenalog-40 and Marcaine.
Syracuse, New York. Best answers. 0. Mar 28, 2021. #1. #2. Hello, I have the same question. We have been billing 3rd Occipital as 64490 or 64633 with DxM53.81 per Encoder & CMS guidelines. Recently received a call about the medical director reviewing these and stated there was a different CPT for this?
I believe it is 64405 for the bilateral greater occipital nerve block but for the supraorbital injection I am not sure if that is a 20552 or is that a lesser occipital nerve. My doc chose 64450 50 and 20552 which I think is incorrectl Thank you! PROCEDURE-Bilateral Greater Occipital Injection and Supraorbital Injection INDICATIONS:Headache
6. Best answers. 0. Aug 2, 2012. #1. 20551 (trigger point inj) with a 64405 (occipital nerve block inj) - CCI edits state 20551 is bundled with the 64405, but may be billed with a modifier when appropriate - if the 20551 is injected just below the skull, at the highest point of the cervical vertabrae is that considered outside the area of the ...
Local injections or nerve blocks, epidural steroid injections, radiofrequency ablation of the planum nuchae, electrical stimulation, rhizotomy, ganglionectomy, nerve root decompression, discectomy and spinal fusion have all been investigated in the treatment of headache and occipital neuralgia.
CPT ® 64450, Under Introduction/Injection of Anesthetic Agent (Nerve Block), Diagnostic or Therapeutic Procedures on the Somatic Nerves The Current Procedural Terminology (CPT ® ) code 64450 as maintained by American Medical Association, is a medical procedural code under the range - Introduction/Injection of Anesthetic Agent (Nerve Block ...