Home » Categories » CPT Surgery/APC Coding

Digital Nerve Block


A patient came into the emergency room with a laceration of the thumb. The doctor performed a wound exploration as well as suturing the laceration. He performed a digital block for anesthesia and we have charged 64450. Is this correct? Our billing service is kicking it out.


Nerve blocks that are performed to provide anesthesia for a separately codable service are not separately billable or codable.  It is only when the physician specifically indicates that the nerve block is performed for post operative pain control that it be billed with another procedure.  Of course when the patient comes in for a nerve block for pain control it is acceptable to code it.

Disclaimer: All articles intended for general consumption only and not as a recommendation for a specific situation. Readers should consult an official source (AHA, AMA, etc.) or a qualified attorney for specific legal guidance.
Attachments Attachments
There are no attachments for this article.
Related Articles RSS Feed
Viewed 670 times since Thu, Oct 27, 2011
Polyp Removal With Monopolar Cautery
Viewed 2311 times since Tue, Nov 16, 2010
L3260 Heel Wedge Shoe
Viewed 2522 times since Wed, Dec 21, 2011
Excision Breast Tissue
Viewed 5675 times since Fri, Mar 25, 2011
Fluoro & Injection to Check Port
Viewed 11009 times since Sat, Mar 19, 2011
Platelet Rich Plasma Injection with Total Knees
Viewed 2126 times since Thu, May 12, 2011
Modifier -59
Viewed 7984 times since Tue, Apr 2, 2013
Foley Catheter Placement - Outpatient Therapuetics
Viewed 5592 times since Fri, Feb 11, 2011
Modifier PT for Colonoscopies
Viewed 3977 times since Tue, Mar 8, 2011
Complication coding
Viewed 1776 times since Fri, Feb 11, 2011
Quorum Health Resources, LLC :: 105 Continental Place Brentwood, TN 37027 :: Phone: (615) 371-4506