CPT^® 64449, Under Introduction/Injection of Anesthetic Agent (Nerve Block), Diagnostic or Therapeutic Procedures on the Somatic Nerves

The Current Procedural Terminology (CPT^®) code 64449 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 administers an anesthetic agent, steroid, or both via continuous infusion through a catheter as a nerve block of the lumbar plexus to keep the target region anesthetized as long as required. Lumbar plexus is a network of nerves in the lumbar region that supplies the skin and muscles of the lower extremity. Catheter placement is included, so it should not be reported separately.

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Question regarding Lumbar Plexus nerve block

Looking for some guidance to determine whether the use of unlisted code 64999 is appropriate for billing a lumbar plexus nerve block for post op pain management or if this would fall under CPT 64449 s... [ Read More ]

01996

I need clarification as to when I can bill 01996. We do many shoulder surgeries and use brachial plexus catheters that are left in for a few days. Can we bill 01996 for follow-up days? We also do f... [ Read More ]

Adductor Canal & Obturator Nerve Blocks

[I]"Anesthesiologist stated placed Bilateral Adductor Canal continuous cath Nerve Block and a Bilateral Obturator nerve block, single shot. These were for post op pain management only. How do I bill f... [ Read More ]

Blocks

I need help on which CPT code to use for continuous adductor canal blocks? I would normally use 64450, but i don't think that this covers continuous? Would it be 64449? Also, for the fascia Iliaca co... [ Read More ]

use of cpt 64415 as post op pain management

REPORTING POSTOPERATIVE PAIN PROCEDURES IN CONJUNCTION WITH ANESTHESIA Committee of Origin: Economics (Approved by the ASA House of Delegates on October 17, 2007 and last amended on October 20, 2010) ... [ Read More ]

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Popliteal and Saphenous Cont. Cath CPT

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Lumbar Plexus Without a Catheter Code?

Below was the guidance I have heard in the past regarding the reporting. Supercoder Anesthesia Coding Alert You be the coder: Reporting a Single Shot Lumbar Plexus Block - Published on Fri, Nov 06, ... [ Read More ]

Lumbar Plexus Without a Catheter Code?

If an Anesthesiologist places a lumbar plexus block (without a catheter) for post op pain management is it appropriate to code 64449 with modifier 52? Would 64450 be more appropriate? Thank you.... [ Read More ]

64449

I agree with dwaldman, 64449 would not be appropriate here. You should use 64999 if your provider did not specify the nerve that was targeted.... [ Read More ]

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