Melissa Harris CPC
Expert
Can someone give me some direction on billing this?? I believe it is 64405 for the bilateral greater occipital nerve block but for the supraorbital injection I am not sure if that is a 20552 or is that a lesser occipital nerve. My doc chose 64450 50 and 20552 which I think is incorrectl
Thank you!
PROCEDURE-Bilateral Greater Occipital Injection and Supraorbital Injection
INDICATIONS:Headache
DESCRIPTION OF PROCEDURE:
INJECTATE: 5 mL of .25% Marcaine, 1 mL of 6mg/mL Celestone
DESCRIPTION OF PROCEDURE: After informed consent was obtained, the patient was brought to the procedure room and placed in the procedure table in the prone position. I palpated the inion and then marked the spot one third the distance between the inion and the mastoid process on the Right and Left sides along the nuchal ridge. At the spot after cleansing the skin with alcohol I injected the bilateral greater occipital nerve with an anesthetic, 2 cc each side of the above injected. I then had the patient roll over and assume the supine position. I palpated for the Right supraorbital notch and then cleansed above the eye with an alcohol wipe, I then advanced a 25-gauge 1-1/2 inch needle downward to the Right supraorbital notche and injected 1 cc of the above injectate then removed the needle. This was repeated on the Left side ustilizing the remaining cc of the above injectate. Band-Aids were placed on the injection sites. There were no complications. The patient tolerated this procedure well.
Thank you!
PROCEDURE-Bilateral Greater Occipital Injection and Supraorbital Injection
INDICATIONS:Headache
DESCRIPTION OF PROCEDURE:
INJECTATE: 5 mL of .25% Marcaine, 1 mL of 6mg/mL Celestone
DESCRIPTION OF PROCEDURE: After informed consent was obtained, the patient was brought to the procedure room and placed in the procedure table in the prone position. I palpated the inion and then marked the spot one third the distance between the inion and the mastoid process on the Right and Left sides along the nuchal ridge. At the spot after cleansing the skin with alcohol I injected the bilateral greater occipital nerve with an anesthetic, 2 cc each side of the above injected. I then had the patient roll over and assume the supine position. I palpated for the Right supraorbital notch and then cleansed above the eye with an alcohol wipe, I then advanced a 25-gauge 1-1/2 inch needle downward to the Right supraorbital notche and injected 1 cc of the above injectate then removed the needle. This was repeated on the Left side ustilizing the remaining cc of the above injectate. Band-Aids were placed on the injection sites. There were no complications. The patient tolerated this procedure well.
