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
EGD with Foreign Body Removal Esophagus
Viewed 8133 times since Thu, Apr 21, 2011
Total Hip Arthroplasty After Closed Reduction with Percutaneous Pinning
Viewed 4287 times since Thu, May 5, 2011
Removal of Biliary Stent via Gastroscopy
Viewed 24893 times since Tue, Nov 16, 2010
Can Opener Capsulotomy for Cataract Extraction
Viewed 3053 times since Tue, Nov 16, 2010
Manual Reduction of Hernia
Viewed 6947 times since Thu, May 19, 2011
Hernia Repairs
Viewed 9596 times since Tue, Nov 16, 2010
Dental Block
Viewed 6253 times since Fri, Sep 2, 2011
Identification Of Bilateral Transforaminal Epidural Injections-64483
Viewed 4071 times since Thu, Feb 3, 2011
PEG Replacement
Viewed 9686 times since Thu, Oct 20, 2011
Failed Placement of Infusaport
Viewed 3028 times since Tue, Dec 27, 2011
Quorum Health Resources, LLC :: 105 Continental Place Brentwood, TN 37027 :: Phone: (615) 371-4506