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Peter Posted Tue 18th of October, 2011 14:26:46 PM

IS THERE A CPT CODE FOR HYDRODISSECTION OF THE GREATER OCCIPTIAL NERVE?

SuperCoder Answered Tue 18th of October, 2011 16:11:01 PM

64405

Peter Posted Tue 18th of October, 2011 19:28:35 PM

I am aware of 64405 and code this when he does an Occipital NB. However, he is telling me that he is doing hydrodissection of the greater occpitial nerve (like with carpal tunnel). Is there such a code for the occipital nerve? I am billing 64721 with the carpal tunnel hydrdissection.

SuperCoder Answered Wed 19th of October, 2011 10:05:34 AM

The greater occipital nerve is a spinal nerve, specifically the medial branch of the dorsal primary ramus of cervical spinal nerve. The spinal nerves are part of the peripheral nervous system (PNS).
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The range of codes for neuroplasty related CPTs for peripheral nerves 64702 -64727.
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The only possible code that can closely fit in here is 64722 [Decompression; unspecified nerve(s) (specify)], otherwise you can go for unlisted one, i.e;64999.

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