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Nerve Block Decision Quiz

Published on Thu Oct 02, 2003

Looking for a quick way to choose the correct nerve block code? Take this easy decision quiz.

Question 1: Did the physician inject a neurolytic (nerve-destroying) or non-neurolytic (for instance: steroids, opioids, anesthetics, etc.) substance?
 

  • If neurolytic: Go to question 2
     
  • If non-neurolytic: Go to question 3.

    Question 2: Did the physician provide the injection to the subarachnoid space?
     

  • If yes: Go to #1
     
  • If no: Go to # 2

    Question 3: Did the physician use an indwelling catheter or intermittent bolus to administer the solution?
     

  • If yes: Go to # 3
     
  • If no: Go to # 4

    Question 4: Did the physician employ a transforaminal approach (common for treatment of herniated disks)?
     

  • If yes: Go to # 4
     
  • If no: Go to#5



     #1
    Spinal level      Any/All      Your Code     62280
    (Report additional injections using multiple units and modifier -51)



    #2
    Spinal level              Your code
    Cervical or Thoracic   62281
    Lumbar or Sacral       62282
     (Report additional injections using multiple units and modifier -51)


    #3
     Spinal level           Your code
    Cervical or Thoracic    62318
    Lumbar or Sacral        62319
    (Report additional injections using multiple units and modifier -51)


    #4
    Spinal level            Your code
    Cervical or Thoracic   64479
    (Report additional injections using +64480)

    Lumbar or Sacral        64483
    (Report additional injections using +64484)


    #5
    Spinal level           Your code
    Cervical or Thoracic   62310
    Lumbar or Sacral       62311
    (Report additional injections using multiple units and modifier -51)

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