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Post-op Pain Block for AV Fistula

Susan m Posted Tue 28th of April, 2015 11:11:54 AM

Our anesthesiologist are performing nerve blocks with ultrasound guidance for post op pain relief. Can we bill for an interscalene nerve block with a AV Fistula? Would I use...
36821
64415-59
76942-26

SuperCoder Answered Wed 29th of April, 2015 01:10:29 AM

CCI edits shows bundling of CPT 64415 with 36821. So, it cannot be billed together.

Susan m Posted Wed 29th of April, 2015 10:40:16 AM

Our anesthesiologist also perform post-op interscalene nerve blocks for pain relief on patients for rotator cuff procedures. We were told we could also bill for the blocks as long as the blocks were requested by the surgeon for post-op pain relief and as long as we put a 59 modifier with the block. Does this not apply to the fistula?

Thanks! :)

SuperCoder Answered Thu 30th of April, 2015 00:47:04 AM

Yes, You are right, You can bill CPT 64415 for interscalene block in this case. But CCI edits shows bundling of CPT 64415 into 36821. you can give it a try by bill CPT 64415 with 59 modifier.

Susan m Posted Thu 30th of April, 2015 09:23:56 AM

Thanks so much for your help! :)

SuperCoder Answered Fri 01st of May, 2015 00:22:15 AM

Your Welcome.

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