AMA CPT® Assistant - 2010 Issue 11 (November)

Surgery: Nervous System (Q&A) (November 2010)

November 2010 page 9 Surgery: Nervous System Question: If a single injection is performed for a thoracic intercostal nerve block, the effect of which is to block multiple intercostal nerves, it is appropriate to report CPT code 64421, Injection, anesthetic agent; intercostal nerves, multiple, regional block, or is the provider limited to re-porting code 64420, Injection, anesthetic agent; intercostal nerve, single? Answer: From a CPT coding perspective, “single injection” means “single nerve block.” Therefore, code 64420 should be reported. If only one needle is placed into the skin but manipulated up and down to inject into...

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