Heads up: Watch for other names that could mean trigeminal. If your physician administers trigeminal nerve blocks to patients for headache relief, brush up on the ins and outs of anatomy and potential diagnoses before coding. Paying attention to two simple tips can help keep your coding for these procedures pain free. Learn the Location The trigeminal nerve provides sensory innervations to most of the face; providers might also refer to the trigeminal nerve as the "cranial nerve V" or the "fifth cranial nerve." The name "trigeminal" stems from the fact that the cranial nerve has three major divisions, or branches: The ophthalmic nerve (V1 division) primarily innervates the forehead and eye area The maxillary nerve (V2 division) provides innervation to the upper jaw area from below the eye to the upper lip The mandibular nerve (V3 division) provides both sensory and motor innervation to the lower jaw area. Providers can administer trigeminal injections at any of the three divisions or branches of the divisions, says Debbie Farmer, CPC, ACS-AN, with Auditing and Compliance Education in Leawood, Kan. You should report injections with 64400 (Injection, anesthetic agent; trigeminal nerve, any division or branch). Patients who need trigeminal nerve injections can have conditions ranging from severe headache to postherpetic neuralgia to trigeminal neuralgia (also known as tic douloureux). Common diagnosis codes can include: 053.12 ��" Postherpetic trigeminal neuralgia 350.1 ��" Trigeminal neuralgia 350.2 ��" Atypical face pain. Review Bilateral Rules If your provider administers bilateral injections, include extra details with the claim that will help garner the appropriate reimbursement. Medicare and many other payers allow you to report trigeminal injections bilaterally by appending modifier 50 (Bilateral procedure). Medicare guideline: Other payers: