1. Try Super
   Posted 4 months ago #
   

   We are receiving a denial from a payor when we bill 64448 Femoral Nerve, continous infusion by catheter with a 01320 Anesthesia code for surgery on the knee. This patient had a knee arthroscopy with acl resconstruction. I know these two codes hit the CCI edits but how do I know if I can apply modifier 59? They perform the femoral nerve injection prior to the anesthesia underal general sedation. Thanks for any advice.

2. SuperCoder
   Posted 4 months ago #
   

   64448 is inclusive in procedural CPT of knee arthroscopy, so can't be billed with knee arthroscopy even with modifier 59. So, using anesthesia code for 64448 will definitely get denial.
   First you have to decide which procedure you are going to bill and anesthesia code will be billed accordingly.

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