Wiki 2025 New CPT codes for Fascial Plane Blocks

dwaldman

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6XX07 (Thoracic fascial plane block, unilateral; by injection(s), including imaging guidance, when performed)
6XX08 (Thoracic fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed)
6XX09 (Thoracic fascial plane block, bilateral; by injection(s), including imaging guidance, when performed
6XX10 (Thoracic fascial plane block, bilateral; by continuous infusion(s), including imaging guidance, when performed),
6XX11 (Lower extremity fascial plane block, unilateral; by injection(s), including imaging guidance, when performed)
6XX12 (Lower extremity fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed)

Per the 2025 Medicare Physician Fee Schedule Proposed Rule, it appears AMA is going to release new codes in 2025 for fascial plane blocks. Thought I would share this.

Page 147
11) Fascial Plane Blocks (CPT codes 6XX07, 6XX08, 6XX09, 6XX10, 6XX11, 6XX12, 64486, 64487, 64488, and 64489) In September 2023, the CPT Editorial Panel created six new Category I CPT codes, CPT code 6XX07 (Thoracic fascial plane block, unilateral; by injection(s), including imaging guidance, when performed), 6XX08 (Thoracic fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed), 6XX09 (Thoracic fascial plane block, bilateral; by injection(s), including imaging guidance, when performed), 6XX10 (Thoracic fascial plane block, bilateral; by continuous infusion(s), including imaging guidance, when performed), 6XX11 (Lower extremity fascial plane block, unilateral; by injection(s), including imaging guidance, when performed), and 6XX12 (Lower extremity fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed) to report thoracic or lower extremity fascial plane blocks, typically used for post-operative pain management. Four existing CPT codes describing transversus abdominis plane (TAP) blocks, 64486 (Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed)), 64487 (Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by continuous infusion(s) (includes imaging guidance, when performed)), 64488 (Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed)) 64489 (Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by continuous infusions (includes imaging guidance, when performed)), were included as part of this code family for RUC review in January 2024.
 
6XX07 (Thoracic fascial plane block, unilateral; by injection(s), including imaging guidance, when performed)
6XX08 (Thoracic fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed)
6XX09 (Thoracic fascial plane block, bilateral; by injection(s), including imaging guidance, when performed
6XX10 (Thoracic fascial plane block, bilateral; by continuous infusion(s), including imaging guidance, when performed),
6XX11 (Lower extremity fascial plane block, unilateral; by injection(s), including imaging guidance, when performed)
6XX12 (Lower extremity fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed)

Per the 2025 Medicare Physician Fee Schedule Proposed Rule, it appears AMA is going to release new codes in 2025 for fascial plane blocks. Thought I would share this.

Page 147
11) Fascial Plane Blocks (CPT codes 6XX07, 6XX08, 6XX09, 6XX10, 6XX11, 6XX12, 64486, 64487, 64488, and 64489) In September 2023, the CPT Editorial Panel created six new Category I CPT codes, CPT code 6XX07 (Thoracic fascial plane block, unilateral; by injection(s), including imaging guidance, when performed), 6XX08 (Thoracic fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed), 6XX09 (Thoracic fascial plane block, bilateral; by injection(s), including imaging guidance, when performed), 6XX10 (Thoracic fascial plane block, bilateral; by continuous infusion(s), including imaging guidance, when performed), 6XX11 (Lower extremity fascial plane block, unilateral; by injection(s), including imaging guidance, when performed), and 6XX12 (Lower extremity fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed) to report thoracic or lower extremity fascial plane blocks, typically used for post-operative pain management. Four existing CPT codes describing transversus abdominis plane (TAP) blocks, 64486 (Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed)), 64487 (Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by continuous infusion(s) (includes imaging guidance, when performed)), 64488 (Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed)) 64489 (Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by continuous infusions (includes imaging guidance, when performed)), were included as part of this code family for RUC review in January 2024.
Thank you!
 
6XX07 (Thoracic fascial plane block, unilateral; by injection(s), including imaging guidance, when performed)
6XX08 (Thoracic fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed)
6XX09 (Thoracic fascial plane block, bilateral; by injection(s), including imaging guidance, when performed
6XX10 (Thoracic fascial plane block, bilateral; by continuous infusion(s), including imaging guidance, when performed),
6XX11 (Lower extremity fascial plane block, unilateral; by injection(s), including imaging guidance, when performed)
6XX12 (Lower extremity fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed)

Per the 2025 Medicare Physician Fee Schedule Proposed Rule, it appears AMA is going to release new codes in 2025 for fascial plane blocks. Thought I would share this.

Page 147
11) Fascial Plane Blocks (CPT codes 6XX07, 6XX08, 6XX09, 6XX10, 6XX11, 6XX12, 64486, 64487, 64488, and 64489) In September 2023, the CPT Editorial Panel created six new Category I CPT codes, CPT code 6XX07 (Thoracic fascial plane block, unilateral; by injection(s), including imaging guidance, when performed), 6XX08 (Thoracic fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed), 6XX09 (Thoracic fascial plane block, bilateral; by injection(s), including imaging guidance, when performed), 6XX10 (Thoracic fascial plane block, bilateral; by continuous infusion(s), including imaging guidance, when performed), 6XX11 (Lower extremity fascial plane block, unilateral; by injection(s), including imaging guidance, when performed), and 6XX12 (Lower extremity fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed) to report thoracic or lower extremity fascial plane blocks, typically used for post-operative pain management. Four existing CPT codes describing transversus abdominis plane (TAP) blocks, 64486 (Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed)), 64487 (Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by continuous infusion(s) (includes imaging guidance, when performed)), 64488 (Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed)) 64489 (Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by continuous infusions (includes imaging guidance, when performed)), were included as part of this code family for RUC review in January 2024.
Regarding the erector spinae block (ESP) currently 64999. With the new 2025 codes, would this be considered a 6XX07?
 
Does anyone know if the Popliteal & Adductor Canal Nerve Blocks will be coded under the new 2025 CPT code 64473, since they are both fascial block injections? Any references or links? Thank you.
 
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