Question: My physician documented that he placed a thoracic paravertebral block for post-op pain management. The only codes I’m finding for paravertebral blocks are 64470-64484 and 64490-64493, but I’m not sure if they apply for post-op pain management. Am I missing codes somewhere?
Answer: Currently, CPT® instructs you to report these paravertebral injections (not facet joint injections) with one of the intercostal injection codes. Report either 64420 (Injection, anesthetic agent; intercostal nerve, single) or 64421 (…intercostal nerves, multiple, regional block), depending upon how many nerves your physician injects.
That will change in a few weeks, when 2016 will bring specific codes for this type of procedure: