CPT^® 64435, Under Introduction/Injection of Anesthetic Agent (Nerve Block), Diagnostic or Therapeutic Procedures on the Somatic Nerves

The Current Procedural Terminology (CPT^®) code 64435 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, steroid, or both in the paracervical or uterine nerve in the area alongside the cervix in females. Report this code for one or more injections of the paracervical or uterine nerve.

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IUD insertion w/paracervival block

I work with a provider who uses paracervical blocks for difficult IUD insertions and she wants to bill for the block. The description in my OBGYN coding companion for CPT 58300 states local anesthesia... [ Read More ]

64435 not payable by UHCI

What code are you using instead of 64435? UHCI states there is a new code out there that is payable. Possibly 62311? Has anyone else run into this issue? Thanks, [email]Suebrock172@gmail.com[/emai... [ Read More ]

Failed endometrial biopsy

Here are my thoughts (that anyone else can differ with): My CCI edits source lists both the 64435 and the 57800 as a Column 2 exclusion to the 58100 code. You can't bill either code in conjunction w... [ Read More ]

Failed endometrial biopsy

Our patient comes in the office for an endometrial biopsy. The physician lists codes 58100, 57800, and 64435. Her note reads: Bimanual Performed, Uterine position noted to be retroverted, Speculum ... [ Read More ]

coding for para cervical block w/CPT 58563

The ob/gyn practice that I work for codes for para-cerivcal blocks using 01991 when performing CPT code 58563(hysteroscopy, w/endometrial ablation). Per the MCR guidelines it states that the para ceri... [ Read More ]

Coding my first RFA-Help please!

the last i knew was that si joint RFA was to be coded as an unlisted code because it is different than the codes supplied by 64435, 66436 "Your first step toward correct coding is to verify whether t... [ Read More ]

Code 64435 Cervical Block

[b]64435 with 58301[/b] I would like to know as well, I know that coventry won't pay fo r 64435 they consider it bundled.... [ Read More ]

58565 with 64435

[QUOTE="natfos6, post: 268972, member: 9758"]new to ob/gyne coding. Insurance carrier is stating 64435 is bundled to 58565, is this something I can appeal with a modifier or do I need to write off?[/Q... [ Read More ]

58565 with 64435

new to ob/gyne coding. Insurance carrier is stating 64435 is bundled to 58565, is this something I can appeal with a modifier or do I need to write off?... [ Read More ]

Coding for cervical block with lidocaine

Hysterosalpingogram can be done mostly without local or regional anesthesia. So also endometrial biopsy done as office visit procedure using paracervical blocks when needed. I reason out that the c... [ Read More ]

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