Eli's Rehab Report
Select 64640 for Phenol Injections
Question: How should I code (1) phenol injections to the left pectoralis major muscle group destroying the pectoralis nerve complex over two different sites and (2) phenol into the left musculocutaneous nerve within the left biceps? Answer: You should review the "Destruction by Neurolytic Agent" category in the CPT and look at code 64640 (Destruction by neurolytic agent; other peripheral nerve or branch). This CPT category for nerve destruction includes several techniques that meet the definition of a neurolytic agent, including chemical, thermal, electrical or radiofrequency. Phenol, ethyl alcohol and hypertonic saline are examples of chemical neurolytic agents that physicians have used since the 1920s.
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Eli's Rehab Report
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Chemodenervation on Right Leg and Right Arm
Question: I'm confused. Can I use modifier 50 (Bilateral procedure) with CPT 64614 [...] - Reader Questions:
Switch A Codes to Q Codes for LOCM
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Predict Payer Issues for 2 Procedures Same Day
Question: A physiatrist performed a digital nerve block on a partial amputation and then sent [...] - Reader Questions:
Select 64640 for Phenol Injections
Question: How should I code (1) phenol injections to the left pectoralis major muscle group [...] - Reader Questions:
Make Use of Modifier 59 With Motor NCS
Question: When my physiatrist performs CPT 95900 and 95903 on different nerves, should [...] - Reader Questions:
Examine the PT/OT Angle of Burn Coding
Question: I'm a new coder at a rehab center with therapists, and we see burn [...] - Reader Questions:
Return to Your Documentation for EMG Coding
Question: If I am billing an office EMG of one extremity with two motor and [...] - Reader Questions:
Note How Rule of Nine Can Change
Question: Does ICD-9 Codes always stick to the percentages for the Rule of Nines? How [...] - Reader Questions:
Report 64450 for Lesser Occipital Nerve Block
Question: What is the correct way to bill for bilateral greater and lesser occipital nerve [...]
