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Surgical Procedures on the Nervous System
Surgical Procedures on the Extracranial Nerves, Peripheral Nerves, and Autonomic Nervous System
Introduction/Injection of Anesthetic Agent (Nerve Block), Diagnostic or Therapeutic Procedures on the Extracranial Nerves, Peripheral Nerves, and Autonomic Nervous System
Introduction/Injection of Anesthetic Agent (Nerve Block), Diagnostic or Therapeutic Procedures on the Somatic Nerves
64420
64420
64421The Current Procedural Terminology (CPT®) code 64420 as maintained by American Medical Association, is a medical procedural code under the range - Introduction/Injection of Anesthetic Agent (Nerve Block), Diagnostic or Therapeutic Procedures on the Somatic Nerves.
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Summary
The provider injects an anesthetic agent and/or steroid in one of the ventral branches of the thoracic spinal nerves located under each rib, called an intercostal nerve. Report this code for one or more injections at a single level during a single procedure.
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Have a question about CPT Code 64420 ? Start a discussion here
Intercostobrachial vs intercostal block
[QUOTE="betsycpcp, post: 515704, member: 76461"]That does help - I wish I could find something saying 64420 is not appropriate for an intercostobrachial block since I keep seeing that code used, but ...[ Read More ]
Intercostobrachial vs intercostal block
That does help - I wish I could find something saying 64420 is not appropriate for an intercostobrachial block since I keep seeing that code used, but it does have a different technique and different ...[ Read More ]
Intercostobrachial vs intercostal block
64450 is the correct code. The link below explains each nerve. [URL unfurl="true"]https://www.nysora.com/techniques/upper-extremity/distal-nerves/cutaneous-blocks-upper-extremity/[/URL]64420 is fo...[ Read More ]
Intercostobrachial vs intercostal block
Hello,I'm looking for opinions and also where to find official guidance if possible - a provider is billing 64420 (injection anesthetic agent and/or steroid; intercostal nerve single level). The rep...[ Read More ]
64420 is the primary code and 64421 is an add on code for each additional level beyond the first level represented by 64420 so modifier 59 would not be appropriate on either code. (Per Codify there ar...[ Read More ]
help with 64420, 64421
HIPhysican billed 64420 and 64421*3.He says he treated 4 nerves from T3-T9. However , he did not document the name of the nerves or the levels in his procedure. He just mentioned he injected need...[ Read More ]
64420/64421 multiple injections
Hello, has anyone been successful in getting reimbursed when billing more than 3 levels to Blue Cross? For example I have a case where Bilateral T1-T8 Intercostal nerves(so 7 levels?) were injected. I...[ Read More ]
CPT for intercostobrachial block ?
Thanks for that link. I don't think the note I saw had a detailed description, but it was a post-op pain block done along with an interscalene block for some type of shoulder or arm surgery if I reme...[ Read More ]
CPT for intercostobrachial block ?
On Wikipedia it says the lateral cutaneous branch of the second intercostal is named the intercostobrachial nerve. So since it's a branch, I thought 64450 might apply. I saw one answer in an old t...[ Read More ]
Two intercostal nerve block of the left anterior thorax
On this procedure, the 5th and 6th costochondral joint areas are injected. On 64420, it states it is an intercostal nerve, single level. Would the 5th and 6th costochondral joint area be a single le...[ Read More ]
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