AMA CPT® Assistant - 2015 Issue 6 (June)
Transversus Abdominis Plane Block (64486-64489) (June 2015)
June 2015 pages 3-4 Transversus Abdominis Plane Block ( 64486 - 64489 ) Transversus abdominis plane (TAP) local anesthesia block (eg, abdominal plane block, rectus sheath block) is a procedure that is performed on patients who undergo abdominal and/or pelvic surgery for postoperative pain control and abdominal wall analgesia. The TAP block is a peripheral nerve block applied to anesthetize the sensory nerves of the anterior abdominal wall. Because the procedure is performed at a more cephalad location for a traditional TAP approach, it is necessary to inject a significantly larger volume of anesthetic to adequately block the sensory...
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Article Overview
This June 2015 CPT Assistant article addresses transversus abdominis plane (TAP) block procedures and the CPT code set changes created to describe them. It is aimed at coding professionals, billers, and clinicians who want to understand the scope of the CPT updates, the procedure types covered, and the general clinical scenarios illustrated in the article.
Why This Topic Matters
TAP blocks are commonly used in abdominal and pelvic surgery for postoperative pain control, and accurate CPT reporting depends on recognizing the procedure category and the distinctions reflected in the updated code set. The article helps readers understand the coding context for these ultrasound-guided pain management procedures.
Article Sections
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Overview of TAP block procedures
Introduces the TAP block procedure and describes the general clinical context in which it is performed. Summarizes the anatomic and procedural scope of the technique at a high level.
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Prior CPT coding considerations
Explains the coding background before the 2015 update and discusses why earlier peripheral nerve block reporting was not a precise fit. Reviews the relationship to other CPT nerve block codes in general terms.
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2015 CPT code set update
Describes the creation of new CPT procedure codes for TAP block reporting and how the code family is organized. Notes the high-level distinctions reflected in the updated code group.
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Clinical examples and descriptions of procedure
Presents multiple illustrative cases and procedural narratives for the TAP block code family. The examples show the general workflow and perioperative settings associated with the procedures.
What You Will Learn
- The general purpose and clinical use of TAP blocks
- Why a CPT code set update was needed for TAP block reporting
- How the new CPT code family is structured at a high level
- What kinds of clinical examples are used to illustrate the procedures
Who Should Read This
- Medical coders
- Coding auditors
- Compliance staff
- Billers
- Anesthesia professionals
- Surgeons
Codes Discussed
Code Ranges Discussed
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