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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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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