nerve

  1. E

    Wiki Coding Radiofrequency Nerve Ablation for the first time

    Good day. I just want to make sure that I am coding this correctly so we can bill the insurance. Procedure: Bilateral, Lumbar L-3, 4 and Lumbar L- 5 Dorsal Ramus Radiofrequency Nerve Ablation (RFNA) with Fluoroscopy for lumbar facet joint mediated pain. 64635 is used for RFNA. Since there are...
  2. G

    Wiki Tenolysis and debridement of Right Peroneal Tendons

    Hello, I'm very new to coding podiatry. I was wondering if anyone could give me some insight of what you think the coding would be for this procedure? The doctor is stating that it would be 27691, but I feel like it should be 27680 or 27681. For the sural nerve excision I came up with 27618. If...
  3. C

    Wiki Ncs nerve conduction studies - comparisons

    Hello. I have searched and cannot find specific guidance related to if the "Comparison Summary" Studies can be counted. I am receiving many UHC denials. I understand that we count each nerve OR branch of a nerve (ie RT Ulnar Seg Motor ABD and Right Ulnar Seg Motor FDI are counted separately...
  4. S

    Wiki Nerve Excision x's3

    Hi all, My General Surgeon says he removed 3 nerve bundles and to code 64795 x's3. Here is his op report: Local Anesthesia. A 5cm incision was made over the site of previous trigger point injections. A 7x5cm area of anterior abdominal wall was then exposed up to the midline medially and 2cms...
  5. M

    Wiki Feel like this requires several unlisted codes

    I was thinking this would require CPT 29824, 29826 and then an unlisted code for the decompression of the nerve and the cyst .. is that right ? 1. Right Shoulder arthroscopy with arthroscopic decompression of suprascapular cyst with decompression of suprascapular nerve with release of the...
  6. K

    Wiki 99204 and 95970?

    If a Provider does a new patient visit and documents the following under NEUROLOGICAL PHYSICAL EXAMINATION: Integumentary: His incision is well healed without edema, erythema or tenderness. His vagal nerve stimulator was interrogated and did not indicate a low battery Is that sufficient...
  7. W

    Wiki Piriformis Nerve Block

    Curious to know what CPT code is used to bill for a Piriformis Nerve Block? We are billing 64445 and this is not covered in the ASC for Tricare. My doctor has asked if there is another code that would be sufficient or if 64445 the correct code. Thank You, Wendy Holloway, CPC Albany, Ga
  8. N

    Wiki 64718 ?

    Hi, just needed to know if the findings of anconeus epitrochlearis is included with the CPT 64718. He states that he excised the muscle to release the nerve. He states that there was fibrous bands of the muscle crossing the nerve. If it is not included what would be the additional CPT for this...
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    Wiki Nerve coding resources

    We have a new provider in our surgery practice who is bringing in a lot of nerve related procedures. Are there resources out there that anyone can suggest? Thanks
  10. L

    Wiki Radial Nerve Palsy Postoperative

    Hi, I have one where the patient fracture he proximal humerus there was a nonunion so we went in to and did ORIF. On follow up she has an incomplete radial nerve palsy postoperative. My question is would the nerve palsy be a complication? Do I code the Radial Nerve Palsy G56.32 and then the...
  11. S

    Wiki Umbilical Nerve block

    Patient had a previous Umbilical Hernia repair and is now coming in for Umbilical pain. We performed a Nerve block around the Umbilicus. What code would be appropriate for this type of Injection. He also used kenalog and I know that code is J3301 per 10mg. Can someone please help with this...
  12. R

    Wiki Nerve Decompressions

    My physician performed a Median nerve decompression on the right carpal tunnel and then created another incision at the elbow and released the median nerve there too. My question is do I code 64721 with 22 mod or 64721 and 64708 because I'm not finding a code for decompression of a Median nerve...
  13. B

    Wiki CPT Code for hypoglossal nerve injection?

    Does anyone know which CPT to use for a hypoglossal nerve injection? It was done by a Pain doc. Thanks!
  14. O

    Wiki 64721 and 64719 billed together

    Hi All, Need opinions on this. 64721 and 64719 billed out on the same claim. I believe I read if note states separate incision ok to bill 64721 and 64719,59. Here is that part of the op note. Attention was directed towards the ulnar nerve release at the wrist first, where Brunner incisions...
  15. C

    Wiki code help

    what would you code for vestibular nerve resection done with an ENT they want to bill 61616 thanks
  16. M

    Wiki Nerve palsy, sciatic

    724.3 is the code I was looking at because code 355.0 mentions with or without lesions ... ANy imput??:confused:
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