Wiki Coding for Nerve Blocks

Anitha Lingala

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Have a question related to the CPT 64450 using it once or twice.

In the ED note, the chart shows the below procedures done in one encounter on a patient.

Femoral nerve block (CPT 64447)

Lateral Femoral Cutaneous Nerve (LFCN) block – (CPT 64450)

Obturator nerve block – (CPT 64450)

The question is do we code only one time for LFCN and Obturator block performed on same encounter, or do 64450 x 2. The doctor made separate procedure note for each of the above three.

Thanks in advance for helping me solve this.


Anitha Lingala, CPC, CPMA, CPC-I, CCS
 
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