How do I bill a 64421?

In the past, CPT code 64421, intercostal nerve block, multiple was a stand-alone code reported when more than one intercostal level was injected. The 2020 CPT update changed 64421 to an add-on code to 64420. Coders are now instructed to report 64420 for the first level and 64421 for each additional level injected.

What is the CPT code 62321?

62321. Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, cervical or thoracic; with imaging guidance (ie, fluoroscopy or CT)

What does CPT code 20610 mean?

Arthrocentesis, aspiration
20610-20611. 20610 Arthrocentesis, aspiration and/or. injection, major joint or bursa (eg, shoulder, hip, knee, subacromial. bursa); without ultrasound guidance.

What is procedure code 64454?

Group 1 Codes:

CODE DESCRIPTION
64450 INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; OTHER PERIPHERAL NERVE OR BRANCH
64454 INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; GENICULAR NERVE BRANCHES, INCLUDING IMAGING GUIDANCE, WHEN PERFORMED

What does CPT code 64490 mean?

The CPT codes 64490 and 64493 are intended to be used to report all of the nerves that innervate the first level paravertebral facet joint and not each nerve. Facet joint levels refer to the joints that are blocked and not the number of medial branches that innervate them as defined by the AMA CPT Committee.

What is the CPT code for ipack block?

The IPACK block is directed at a tissue plane, not at a specific nerve. Currently, there is no specific CPT code to report an IPACK block. Therefore, code 64999, Unlisted procedure, nervous system, should be reported.

What is the CPT code for interlaminar steroid injection?

The CPT Codes for the interlaminar epidural steroid injection has changed in 2017. I think you should update it. CPT Code for interlaminar- cervical or thoracic: 62321 CPT code for interlaminar- lumbar or sacral: 62323

What’s the coding for a hip steroid injection?

To my knowledge, coding this hip injection when performed in an ASC shold be a 27095, not a 20610. Medicare, however, does not cover this procedure when performed in an ASC, if this is a Medicare patient. I think the note looks like the shoulder “arthrogram” and steroid description previous post.

Is there still a CPT code for pulsed RF?

The elimination of the CPT code for the use of pulsed RF in 2005 has created yet another obstacle. However, there are still ethical and legal means of billing for the procedure and will be discussed later in the article.

What is the CPB code for extracorporeal pulse activation therapy?

Extracorporeal pulse activation therapy (EPAT) – no specific code: 0101T: Extracorporeal shock wave involving musculoskeletal system, not otherwise specified, high energy: CPT codes not covered for indications listed in the CPB: 0102T

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