AMA CPT® Assistant - 2018 Issue 1 (January)

Surgery: Nervous System (Q&A)

January 2018 page 7 Surgery: Nervous System Question: What is the appropriate code to report an erector spinae plane (ESP) block for postoperative pain in which the needle is inserted at the T5 transverse process under ultrasound guidance? A local anesthetic test dose was delivered and a catheter was threaded. This particular ESP block was for post-thoracotomy chest wall pain. Answer: There is no specific CPT code that describes this service; therefore, code 64999, Unlisted procedure, nervous system, should be reported for the ESP block. When reporting an unlisted code to describe a procedure or service, it will be...

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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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