tci ED Coding & Reimbursement Alert - 2023 Issue Q1

You Be the Coder: Double Digital Block

Question: Encounter notes indicate that the ED provider performed a digital block on two levels of a patient’s intercostal nerve. Should I report 64420 x 2? AAPC Forum Subscriber Answer: No, you should report: 64420 (Injection(s), anesthetic agent(s) and/ or steroid; intercostal nerve, single level) for the first-level injection +64421 (… intercostal nerve, each additional level (List separately in addition to code for primary procedure)) for the second-level injection Remember: Only use +64421 with 64420 — not with any of the other codes for anesthetic agent/steroid injections. ...

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