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Documentation of Medicine

Annie Posted Thu 09th of October, 2014 09:10:19 AM

How do you code: Left Occipital Nerve Block utilizing 7cc of marcaine 0.25% plain and 3cc of Depomedrol 80mg/cc with Medicaid being the payer. What code do you code and with how many units?

SuperCoder Answered Fri 10th of October, 2014 07:30:42 AM

Thank you for your question.

64450: Injection, anesthetic agent; other peripheral nerve or branch

OR

64405:Injection, anesthetic agent; greater occipital nerve
In this procedure, the provider injects an anesthetic agent into the greater occipital nerve, a nerve arising from the second cranial nerve, called the optic nerve.

Marcaine: J3490, Unclassified drugs, include all drug injection information with the claim including dosage

Depomedral 80mg: J1040 Injection, methylprednisolone acetate, 80 mg

Annie Posted Mon 13th of October, 2014 10:38:53 AM

Can cpt code 64405 be done in office?

SuperCoder Answered Mon 13th of October, 2014 17:12:34 PM

Yes it may be done in the office.

Payment indicator definition: Office-based surgical procedure added to ASC list in CY 2008 or later with MPFS nonfacility PE RVUs; payment based on MPFS nonfacility PE RVUs.

Annie Posted Tue 14th of October, 2014 18:03:43 PM

How do you code this as/with an office visit:
Left Occipital Nerve Block utilizing 7cc of marcaine 0.25% plain and 3cc of Depomedrol 80mg/cc with Medicaid being the payer. What code do you code and with how many units?

SuperCoder Answered Wed 15th of October, 2014 07:40:18 AM

64405: Injection, anesthetic agent; greater occipital nerve
Marcaine: J3490, Unclassified drugs, include all drug injection information with the claim including dosage
Depomedral 80mg: J1040 Injection, methylprednisolone acetate, 80 mg

64405 x1
J3490 x1
J1040 x1

The above are the appropriate codes.

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