Greater Occipital Nerve Block

RADIOLOGY TEST CASE ANSWER Greater Occipital Nerve Block HOW TO CODE 64405 50 Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve 76942 Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation M54.81 Occipital neuralgia DISCUSSION The procedure performed in this radiology test case is reported with Current Procedural Terminology (CPT®) codes 64405 and 76942. This code combination represents the injection of a local anesthetic agent and/or steroid targeting the greater occipital nerve, performed under ultrasound guidance. When a nerve block injection is performed with an anesthetic and/or steroid, a code from...

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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 coding article explains the general coding considerations for a greater occipital nerve block and related imaging guidance, with supporting references to CPT and ICD-10-CM guidance. It is intended for coders and billing professionals who need to understand the scope of the procedure, associated diagnosis coding, and the cited source materials used in radiology examples.

Why This Topic Matters

Proper reporting for nerve block procedures can affect claim accuracy, payer acceptance, and whether ancillary services are captured appropriately. The article also highlights how source guidance and payer policy can influence reporting choices in radiology-related coding scenarios.

Article Sections

  1. How to Code

    Introduces the primary procedure and related imaging guidance discussed in the article. Also identifies the diagnosis category associated with the case.

  2. Discussion

    Provides broader context on the procedure, including anatomy, general coding considerations, imaging guidance options, and references to source guidance. It also discusses billing and reporting considerations for the scenario.

  3. Sources

    Lists the reference materials and publication sources cited for the article and example.

What You Will Learn

  • The general coding topics associated with a greater occipital nerve block
  • How imaging guidance is discussed in relation to the procedure
  • What source references and guideline materials are cited
  • How the article frames the related diagnosis coding context

Who Should Read This

  • Medical coders
  • Radiology coders
  • Billing staff
  • Compliance professionals
  • Coding educators

Codes Discussed

Code Ranges Discussed

Modifiers Discussed


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