tci Medicare Compliance & Reimbursement - 2005 Issue 38

PHYSICIANS: CMS Presents A Bundle Of Nerve-Block Edits

...but everyone expected feds to make the move.Physicians performing procedures to destroy the somatic or sympathetic nerves soon won't be able to bill for a nerve block with those procedures. Starting in October, a sweeping set of edits will bundle nerve block introduction/injection codes 64400-64413, 64418-64449, 64479, 64483 and 64505-64530. Each of those codes will become a component of 51 or 52 other nervous system codes. The comprehensive codes include:• codes 64612-64614, 64630 and 64681, for destruction of the somatic and sympathetic nerves by a neurolytic agent;• neuroplasty codes 64702-64726;• transection/avulsion codes 64732-64772...

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