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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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This CPT Assistant Q&A article discusses coding for selected nervous system pain-management procedures and related reporting considerations. It is useful for coders, billing staff, and reimbursement teams who need to understand how the article frames coverage of unlisted procedures, nerve blocks, and destruction services in a postoperative pain context.

Why This Topic Matters

The article helps readers identify when a service is addressed by an existing CPT code and when an unlisted procedure code is referenced instead. It also highlights general documentation and reporting considerations relevant to coding these nervous system procedures.

Article Sections

  1. January 2018 page 7

    Introduces the Q&A content for this CPT Assistant issue page and frames the nervous system coding topics addressed in the article.

What You Will Learn

  • How the article approaches coding questions for selected nervous system pain procedures
  • Which CPT code set issues are discussed in the context of unlisted procedure reporting
  • What general reporting considerations are mentioned for multiple nerve-related procedure claims
  • How the article frames modifier use in relation to repeated procedural listings

Who Should Read This

  • Medical coders
  • Coding auditors
  • Billing staff
  • Reimbursement specialists
  • Physician office staff

Codes Discussed

Modifiers Discussed


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