Neurology & Pain Management Coding Alert

Reader Questions:

Look to 64400 for Supraorbital Injection

Question:

What procedure code applies to a supraorbital nerve injection?

Washington Subscriber

Answer:

Code the procedure as a supraorbital nerve block with 64400 (Injection, anesthetic agent; trigeminal nerve, any division or branch).

Explanation: The supraorbital nerve branches off the ophthalmic nerve (V1 division of the trigeminal nerve). Physicians typically inject the supraorbital nerve to treat supraorbital neuralgia, postherpetic trigeminal neuralgia, or migraine headaches.

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