AMA CPT® Assistant - 2007 Issue 12 (December)

Surgery: Nervous System (December 2007)

December 2007 page 13c Bonus Feature:Surgery: Nervous System Question: How would phenol injections to the superior hypogastric plexus be reported when, following multiple-needle positioning attempts at the right and left L5 region, the procedure is discontinued due to the patient's increased heart rate and suboptimal dye spread? Answer: Code 64681, Destruction by neurolytic agent, with or without radiologic monitoring; superior hypogastric plexus, should be reported once with modifier 53, Discontinued procedure, appended. Modifier 53 indicates that due to extenuating circumstances or those that threaten the well being of the patient, the physician elected to terminate a procedure. Surgery: Nervous...

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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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