How would you code the following procedure?
...patient was placed in the supine position. Imaging line was visualized on the Rt side from the mastoid process to the angle of the mandible and the styloid process. The skin was prepped and using a 22-guage 1.5 inch needle, local % lidocaine was injected into the rt side of the face. Once visualized on the CT scanner, the appropirate landmarks were identified and advancement was placed at midpoint location in a perpendicular plain to the skin. The styloid process was seen the needle was withdrawn and advanced just beyond the styloid process posteriorly. Careful aspiration revealed no blood or CSF. Approximately 5 ml of 0.125% bupivacaine, as well as 40 mg of Depo Medrol was injected.
Would you code this as a 64450 peripheral nerve block? 64402 facial nerve block? My doc's are in disagreement on this because of the locationa & CT use. Any direction would be greatly appreciated.
...patient was placed in the supine position. Imaging line was visualized on the Rt side from the mastoid process to the angle of the mandible and the styloid process. The skin was prepped and using a 22-guage 1.5 inch needle, local % lidocaine was injected into the rt side of the face. Once visualized on the CT scanner, the appropirate landmarks were identified and advancement was placed at midpoint location in a perpendicular plain to the skin. The styloid process was seen the needle was withdrawn and advanced just beyond the styloid process posteriorly. Careful aspiration revealed no blood or CSF. Approximately 5 ml of 0.125% bupivacaine, as well as 40 mg of Depo Medrol was injected.
Would you code this as a 64450 peripheral nerve block? 64402 facial nerve block? My doc's are in disagreement on this because of the locationa & CT use. Any direction would be greatly appreciated.
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