Neurosurgery Coding Alert
Check Block or Destruction in Celiac Plexus Injections
Question: Our surgeon has documented a celiac plexus block with the use of an anesthetic agent. How can we report this service? Are there specific injection codes for this procedure? New York Subscriber Answer: You will need more procedure details before you can target a code for the celiac plexus block. Confirm if your physician did a celiac plexus block or complete destruction. From the explanation provided, it is assumed that your physician injected the celiac plexus to block it. You report code 64530 (Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring) for this service. If your surgeon does a celiac plexus destruction, you submit code 64680 (Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus). Note: For transendoscopic ultrasound-guided transmural injection of an anesthetic agent into the celiac plexus, you submit code 43253 (Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided transmural injection of diagnostic or therapeutic substance[s] [e.g., anesthetic, neurolytic agent] or fiducial marker[s] [includes endoscopic ultrasound examination of the esophagus, stomach, and either the duodenum or a surgically altered stomach where the jejunum is examined distal to the anastomosis]).
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