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supraclavicular nerve injection

Cindy Posted Thu 05th of December, 2019 12:40:08 PM
I am new to nerve injections for pain. My provider just started doing these. I have a question on the follow: Gave a series of injections in the posterior cutaneous rami of the thoracic nerve and the supraclavicular nerve distribution in the right shoulder and upper back. Used 10 cc of buffered 5% dextrose and 1% lidocaine. Would I code this 64613/rt and 64450? THank you
SuperCoder Answered Sun 08th of December, 2019 22:01:52 PM

Hi Cindy,

 

The supraclavicular nerve is a superficial sensory nerve originating from the C3 and C4 nerve roots of the superficial cervical plexus. So, 64413 will be appropriate to bill for supraclavicular nerve pain injection. However, for a series of injections in the posterior cutaneous rami of the thoracic nerve we will bill either 64421 (Injection, anesthetic agent; intercostal nerves, multiple, regional blocks) or CPT code 64420 for a single injection. Feel free to ask for any further query.

 

NOTE:

>Intercostal nerve: One of twelve bilateral nerves that arise from the anterior roots of the thoracic spinal nerves from T1 to T11; are part of the voluntary nervous system associated with the voluntary control of body movements using skeletal muscles; supply sensory innervation to the skin and the intercostal muscles, the muscle groups that run along the ribs and that create and move the chest wall.

>Posterior cutaneous thoracic spinal nerve (part of lateral cutaneous branch which further divides to posterior and anterior branch.

Cindy Posted Mon 09th of December, 2019 06:50:00 AM
Thank you so much for your help!! This was so useful, especially the additional information on the nerves!! Thank you again
SuperCoder Answered Mon 09th of December, 2019 23:57:19 PM

Thank you, happy to help.

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