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64450 Units

Cindy Posted Thu 08th of August, 2019 12:10:34 PM
My provider did a series of injections into the posterior and lateral antebrachial nerve distribution of the right arm. She would like to bill 2 units of 64450, can we bill two units or just one? Is 64450 the correct code to use? Thank you
SuperCoder Answered Fri 09th of August, 2019 04:26:46 AM

Hi Cindy,


Posterior and Lateral branches of antebrachial nerve are part of the bigger nerve complex known as Brachial Plexus. Antebrachial nerve is also called as lateral cutaneous nerve of the forearm and arises from lateral cord of Brachial Plexus. You should use CPT code 64415 (injection of an anesthetic agent in Brachial Plexus) for the performed procedure. 


MUE of this code is 1 and hence only one unit of this code should be billed.


Also, please be noted that any anesthetic agent given prior to a surgical procedure as an anesthetic agent is not separately billable as the services are considered inclusive in the surgical procedure.


If the anesthetic agent has been given for post-operative pain management then it can be reported separately.


Hope provided information would be helpful.



Cindy Posted Fri 09th of August, 2019 05:48:38 AM
Thank you so much, this is very helpful!!
SuperCoder Answered Mon 12th of August, 2019 00:34:17 AM

Thank you, happy to help.

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