Greater Occipital Nerve Block

RADIOLOGY TEST CASE The radiology test case is provided for coding professionals to test their knowledge. Please take some time to review and code the case. Consider your answers as to how the procedure is reported in 2020. Once you are confident with your answer, turn to page 14 for the correct answer and discussion. Greater Occipital Nerve Block CLINICAL HISTORY A 65-year-old female presents with complaint of chronic painful headache due to occipital neuralgia. COMPARISON No prior studies. TECHNIQUE The skin overlying the occiput was prepared using a chlorhexidine solution to maintain sterile aseptic conditions. A time-out was...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This radiology test case reviews a bilateral greater occipital nerve block performed with ultrasound guidance in a headache/occipital neuralgia setting. It is intended for coding professionals who want to compare case details, procedure approach, and documentation elements relevant to reporting this type of service in 2020.

Why This Topic Matters

The article helps coders recognize the documentation elements present in an image-guided pain procedure and understand which coding references are relevant for reviewing a radiology case from 2020.

Article Sections

  1. Radiology Test Case

    Introduces the coding exercise and frames the case as a review of procedure reporting for a specific year.

  2. Clinical History

    Summarizes the patient presentation and the reason the procedure was performed.

  3. Comparison

    Indicates whether prior studies are available for reference.

  4. Technique

    Describes the procedural setup, imaging assistance, injections, and completion of the case.

  5. Impression

    Provides the overall post-procedure outcome stated in the report.

What You Will Learn

  • How a radiology coding case study is structured
  • What documentation elements are presented in a nerve block procedure note
  • Which broad reporting considerations are relevant to an ultrasound-guided pain procedure
  • How a 2020 coding review case is organized for practice

Who Should Read This

  • Radiology coders
  • Coding auditors
  • Billing specialists
  • Clinical documentation staff
  • Physician coding educators

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