Anesthesia Coding Alert

Question: What is the correct CPT^® code to use for an erector spinae block where a catheter was placed to be used with PCA?

New Mexico Subscriber

Answer: CPT^® 2018 does not include a specific code that describes the service you describe. Because of this, your best option is to submit code 64999 (Unlisted procedure, nervous system) for the ESP block.

Remember: Anytime you report an unlisted code to describe a procedure or service, include supporting documentation (such as a detailed procedure report) when you file the claim to explain the service your physician provided. This documentation should include an adequate description of the nature, extent, and need for the procedure as well as the time, effort, and equipment necessary to provide the service.