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
FB eye with rust ring removal CPT
Viewed 7289 times since Thu, Mar 17, 2011
Modifier PT and Medicare
Viewed 3978 times since Mon, Sep 19, 2011
Transbronchial bx Modifier Issue
Viewed 4180 times since Tue, Jan 10, 2012
Ultrasound Guided Fine Needle Aspiration and Core BX
Viewed 11210 times since Mon, Apr 25, 2011
Replacement of Pacemaker Generator
Viewed 13625 times since Thu, Mar 15, 2012
Modifier PT for Colonoscopies
Viewed 4181 times since Tue, Mar 8, 2011
Foley Catheter Placement - Outpatient Therapuetics
Viewed 6228 times since Fri, Feb 11, 2011
CPT code 20610 vs. G0260 vs 27096
Viewed 7458 times since Tue, Apr 26, 2011
Venous Access Device
Viewed 1973 times since Wed, Dec 26, 2012
Treatment Patella FX
Viewed 5390 times since Thu, May 3, 2012
Quorum Health Resources, LLC :: 105 Continental Place Brentwood, TN 37027 :: Phone: (615) 371-4506