Home » Categories » CPT Surgery/APC Coding

Digital Nerve Block


Question

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.

Answer

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
Dental Blocks
Viewed 17548 times since Tue, Feb 8, 2011
Tenolysis in the Wound Care Center
Viewed 2199 times since Tue, Nov 16, 2010
Apligraf Application CPT Coding
Viewed 5990 times since Tue, Oct 11, 2011
Hernia and Appendectomy Performed
Viewed 9661 times since Wed, Feb 15, 2012
Edits on Billing Software from Mediport Placement
Viewed 5075 times since Thu, Feb 14, 2013
Ultrasound Guided Fine Needle Aspiration and Core BX
Viewed 11099 times since Mon, Apr 25, 2011
EGD with Dilation
Viewed 36991 times since Thu, Jun 21, 2012
Coding Intrathecal Pain Pump
Viewed 5443 times since Fri, Jun 24, 2011
Foley Catheter Placement - Outpatient Therapuetics
Viewed 6096 times since Fri, Feb 11, 2011
Holter Monitor / EKG Modifier 59
Viewed 2098 times since Fri, Oct 28, 2011
Quorum Health Resources, LLC :: 105 Continental Place Brentwood, TN 37027 :: Phone: (615) 371-4506