tci Outpatient Facility Coding Alert - 2015 Issue 9

Neurology News: Don't Miss This 3 Step Heads Up for Headache-Related Nerve Blocks

Harness occipital and trigeminal nerve blocks with 64400 and 64405 If you code for bilateral occipital or trigeminal nerve blocks as a headache-relief service to your patients, there are a few landmines to sidestep to ensure proper coding and reimbursement. Read on to know what doctors and coders are doing to bring relief to patients and payment to the practice. Step 1: Know the Block’s Purpose and Location For bilateral occipital or trigeminal nerve blocks, you‘ll be using codes 64405 (Injection, anesthetic agent; greater occipital nerve) or 64400 (Injection, anesthetic agent; trigeminal nerve, any division or branch)...

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