AHA Coding Clinic® for HCPCS - 2010 Issue 3; ASK the EDITOR

Dental block

A 44-year old female patient presents to the emergency room suffering from dental pain due to a cracked tooth. The patient states she has had gradual worsening of her pain for the last several days. A dental block (injection of regional anesthesia) was performed for the pain with Marcaine and Epinephrine. Complete pain relief was experienced by the patient following the injection. Would this injection be assigned with CPT code 64450, Injection, anesthetic agent; other peripheral nerve or branch, and an evaluation and management (E/M) code? Or, would it be appropriate to assign the E/M code and to not separately report the injection? ...

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