RADIOLOGY TEST CASE ANSWER Celiac Plexus Neurolysis With Computed Tomography Guidance

Celiac Plexus Neurolysis With Computed Tomography Guidance HOW TO CODE 64680 Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus 99152 Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient age 5 years or older 99153 Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic...

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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 article is a radiology coding case discussion focused on a celiac plexus neurolysis procedure performed with computed tomography guidance. It explains the relevant CPT framework, discusses separate reporting of moderate sedation, and places the case in the context of guidance from professional coding publications. It is intended for coders, radiology practices, and others reviewing procedure reporting for interventional pain or neurolytic procedures.

Why This Topic Matters

The article helps readers identify the appropriate procedural coding framework for a specific radiology-assisted neurolytic case and understand when associated services are addressed within the primary procedure versus reported separately. It also highlights that the article corrects prior coding advice in another published case example.

Article Sections

  1. How to Code

    Introduces the coding framework for the case and identifies the primary procedure and related service categories discussed in the article.

  2. Discussion

    Reviews the case context, imaging guidance, sedation documentation, and the relationship between the procedure and related CPT guidance. It also notes the article’s connection to prior published coding advice.

  3. Sources

    Lists the professional references and publications cited as background for the case discussion.

What You Will Learn

  • The general coding topics addressed in a celiac plexus neurolysis case
  • How imaging guidance and moderate sedation are discussed in relation to the procedure
  • Which professional coding sources are referenced in the article
  • How the article positions itself as a correction to earlier published guidance

Who Should Read This

  • Radiology coders
  • Interventional radiology staff
  • Medical coding educators
  • Billing and compliance teams
  • Pain management coding professionals

Codes Discussed

Code Ranges Discussed


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