tci Part B Insider - 2008 Issue 26

Part B Coding Coach: The Difference Between Nerve Block and Destruction May Be Greater Than You Think

Report only destruction with same session/location blockWhen coding for facet joint injections, you must read the documentation carefully to determine whether the physician performed a nerve block (64470-+64476) or more extensive nerve destruction (64622-+64627). Additionally, you must know how CPT's definition of -level- varies between the two types of procedures. Count -Joints- for Nerve Blocks When reporting nerve blocks, you should focus on the -joint---the area between adjacent nerves--that the physician targets, instructs Marvel J. Hammer, RN, CPC, CCS-P, PCS, ACS-PM, CHCO, owner of MJH Consulting in Denver. Therefore, one nerve block -level- will actually involve two nerves.Example...

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