Wiki 64450 denies

[Jcelin]

PROCEDURE: Integrated nerve block

Posterior tibial nerve was blocked
Saphenous nerve was blocked
Sural nerve was blocked

Same procedure was performed on both left and right ankle.

I reported as 64450 59 LT 51 with quantity of 3 same on RT, but the payer denies and says its experimental. Any ideas please....

 

[mitchellde]

First what was the dx code(s) second you should not bill these codes with units greater than 1 they each need a seaparte line item using the 59 modifier.

 

[tdml97@yahoo.com]

If this is going to Medicare - they will only pay for 2

either - 64450/50 or 64450/rt & 64450/lt

 

[Jcelin]

the Dx are 729.5 and 719.47 lower extremity and foot pain.

 

[Jcelin]

First what was the dx code(s) second you should not bill these codes with units greater than 1 they each need a seaparte line item using the 59 modifier.

thank you for your response... so i have to report 64450 50, 59 with 1 unit three times?

 

[Jcelin]

what would i report so the medicare will pay the 3 procedures?