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Intercostal Nerve block and rectus abdominus nerve block

Melissa Posted Wed 11th of January, 2017 11:19:57 AM
Hello can you tell me if the proper codes for this would be: 64420 and 64486? The physician chose 64450
SuperCoder Answered Thu 12th of January, 2017 15:10:54 PM

Hi Melissa, 

Cpt 64420 is correct to bill for intercostal nerve block. However, cpt 64486 is the the transversus abdominis plane (TAP) block, an injection which is suppose to be given in muscle, to control pain in most of the abdominal procedures, typically used for post-operative pain management following major abdominal surgery. Your provider may also use it as an adjunct to his anesthesia for abdominal laparoscopic procedures. 

Preffered code, If performed for postoperative pain management, will be CPT 64450 (Injection, anesthetic agent; other peripheral nerve or branch). Hope it helps.


Melissa Posted Fri 13th of January, 2017 16:37:02 PM
Thank you so much!
SuperCoder Answered Mon 16th of January, 2017 00:41:08 AM

Happy to Help!

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