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Anne Posted Thu 02nd of January, 2020 08:35:58 AM
I was going over some of the 2020 CPT changes and came across the code set 64400-64450 code descriptor changes. For example..... 64405--Injection, anesthetic agent; greater occipital nerve (2019) 2020 CPT changed to 64405--Injection, anesthetic agent and/or steroid; greater occipital nerve (2020) If I am reading it correctly the steroid is now included and can NOT be billed separately if done, Correct?
SuperCoder Answered Fri 03rd of January, 2020 03:21:30 AM

Hi Anne,


As per CPT® advice for CPT code 64405, CPT® 2020 revises 64405 to add the phrase “and/or steroid,” so that the procedure can be reported for an injection of either an anesthetic or steroid or both anesthetic and steroid. (e.g., triamcinolone and methylprednisolone) and adds “(s)” to “injection” to show that the code is reported only once, regardless of the number of times the occipital nerve is injected.


It also means that injection of steroid would be now considered a part of the service and should not be billed as a seperate code.


Hope, provided information would be helpful.



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