AMA CPT® Assistant - 2018 Issue 12 (December)

Surgery: Nervous System (Q&A) (December 2018)

December 2018 page 8d Surgery: Nervous System Question: What are some examples of paravertebral blocks (PVB) captured in CPT codes 64461-64463? It was assumed that erector spinae is one example, but an FAQ in the January 2018 issue of the CPT® Assistant newsletter referred to code 64999 instead. However, according to some physicians, the erector spinae is actually a paravertebral structure that is commonly addressed, injected, or treated, when performing postoperative pain blocks or managing postoperative pain. Answer: A PVB targets the sympathetic chain of nerves and somatic nerves (intercostal and spinal nerves and their branches), which may be...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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