AMA CPT® Assistant - 2012 Issue 2 (February)

Surgery: Nervous System (Q&A) (February 2012)

February 2012 page 11b Surgery: Nervous System Question: Is it appropriate to report code 58563 as well as code 58565 separately when performed during a paracervical (uterine) nerve block (code 64435)? Answer: No. Code 64435, Injection, anesthetic agent; paracervical (uterine) nerve, is included in the intraservice work of code 58563, Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation), as well as code 58565, Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants. Therefore, it is not appropriate to separately report code 64435 in addition to either code 58563 or 58565...

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