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Cindy Posted Thu 21st of May, 2020 08:43:49 AM
My physician is a family practice doctor who is starting to do PNI injections based on a class he attended. The note reads as follows : Gave a series of injections into the right sciatic nerve with 2 syringes of 5CC's each of 5% dextrose and 1% lidocaine. He wants to bill 64445-injection into sciatic nerve for pain. When I read the CPT description, this code reads more like post op pain control, anesthetize. Does the 1% of lidocaine qualify for anesthetic agent or steroid to be able to bill the 64445? I have my doubts about this as this is usually done by an anesthesiologist not a family practice physician. I don't want to bill if it is not correct. If we shouldn't use this code, what code would better qualify. Thank you so much.
SuperCoder Answered Fri 22nd of May, 2020 05:30:59 AM

Hi Cindy,


CPT code 64445 can be used for PNI injection performed in sciatic nerve in a family practice setting. However we need to ensure the following:


1. Your payer does not consider lidocaine as a local anesthetic only. If lidocaine is considered as a local anesthetic by your payer, then this service may not be considered a billable service. Kindly check with your payer about the same.


2. Code descriptor of this code doesnot specifically mention about post operative management only. This code can be used for injection of an anesthetic agent performed in the office as well.




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