CPT^® 64420, Under Introduction/Injection of Anesthetic Agent (Nerve Block), Diagnostic or Therapeutic Procedures on the Somatic Nerves

The Current Procedural Terminology (CPT^®) code 64420 as maintained by American Medical Association, is a medical procedural code under the range - Introduction/Injection of Anesthetic Agent (Nerve Block), Diagnostic or Therapeutic Procedures on the Somatic Nerves.

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Summary

The provider injects an anesthetic agent and/or steroid in one of the ventral branches of the thoracic spinal nerves located under each rib, called an intercostal nerve. Report this code for one or more injections at a single level during a single procedure.

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Intercostobrachial vs intercostal block

[QUOTE="betsycpcp, post: 515704, member: 76461"] That does help - I wish I could find something saying 64420 is not appropriate for an intercostobrachial block since I keep seeing that code used, but ... [ Read More ]

Intercostobrachial vs intercostal block

That does help - I wish I could find something saying 64420 is not appropriate for an intercostobrachial block since I keep seeing that code used, but it does have a different technique and different ... [ Read More ]

Intercostobrachial vs intercostal block

64450 is the correct code. The link below explains each nerve. [URL unfurl="true"]https://www.nysora.com/techniques/upper-extremity/distal-nerves/cutaneous-blocks-upper-extremity/[/URL] 64420 is fo... [ Read More ]

Intercostobrachial vs intercostal block

Hello, I'm looking for opinions and also where to find official guidance if possible - a provider is billing 64420 (injection anesthetic agent and/or steroid; intercostal nerve single level). The rep... [ Read More ]

Billing Intercostal NB 64420 & 64421

64420 is the primary code and 64421 is an add on code for each additional level beyond the first level represented by 64420 so modifier 59 would not be appropriate on either code. (Per Codify there ar... [ Read More ]

help with 64420, 64421

HI Physican billed 64420 and 64421*3. He says he treated 4 nerves from T3-T9. However , he did not document the name of the nerves or the levels in his procedure. He just mentioned he injected need... [ Read More ]

64420/64421 multiple injections

Hello, has anyone been successful in getting reimbursed when billing more than 3 levels to Blue Cross? For example I have a case where Bilateral T1-T8 Intercostal nerves(so 7 levels?) were injected. I... [ Read More ]

CPT for intercostobrachial block ?

Thanks for that link. I don't think the note I saw had a detailed description, but it was a post-op pain block done along with an interscalene block for some type of shoulder or arm surgery if I reme... [ Read More ]

CPT for intercostobrachial block ?

On Wikipedia it says the lateral cutaneous branch of the second intercostal is named the intercostobrachial nerve. So since it's a branch, I thought 64450 might apply. I saw one answer in an old t... [ Read More ]

Two intercostal nerve block of the left anterior thorax

On this procedure, the 5th and 6th costochondral joint areas are injected. On 64420, it states it is an intercostal nerve, single level. Would the 5th and 6th costochondral joint area be a single le... [ Read More ]

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