beatet66
Contributor
Hello,
I am hoping to get some clarification/information regarding a procedure my provider is performing.
The op report is as follows:
Identification of the appropriate affected incision was noted and skin markings were placed. Area was prepped and draped in a sterile fashion with betadine on 3 separate
occasions. Sterile towels were placed. A terason ultrasound probe was prepared sterile and placed over the operative area, ultrasound imagery was performed and appropriate identification of the subcutaneous nerve associated with the previous surgical incision site was identified, appropriate adjacent vascular structures were also identified. A 25 ga needle was placed just adjacent to the affected incision. Needle was advanced until placement as close a possible to the preoperative affected region as per vocalization by patient. The needle was connected to a peripheral nerve stimulator and stimulation was performed at 0.5 mv with positive identification for her preoperative pain was reproduced. The needle was gently remanipulated until maximum sensory input was noted. 5 cc's of 0.5% bupivacaine was injected through the needle. The needle was then removed and the procedure was repeated in the exact same dimensions on the incision in the region.
I am not sure if this can be coded with CPT 64450, without actually specifying the nerve(s) being targeted or if this should be coded with the unlisted CPT 64999?
Any help/guidance would be greatly appreciated.
Thank you!
I am hoping to get some clarification/information regarding a procedure my provider is performing.
The op report is as follows:
Identification of the appropriate affected incision was noted and skin markings were placed. Area was prepped and draped in a sterile fashion with betadine on 3 separate
occasions. Sterile towels were placed. A terason ultrasound probe was prepared sterile and placed over the operative area, ultrasound imagery was performed and appropriate identification of the subcutaneous nerve associated with the previous surgical incision site was identified, appropriate adjacent vascular structures were also identified. A 25 ga needle was placed just adjacent to the affected incision. Needle was advanced until placement as close a possible to the preoperative affected region as per vocalization by patient. The needle was connected to a peripheral nerve stimulator and stimulation was performed at 0.5 mv with positive identification for her preoperative pain was reproduced. The needle was gently remanipulated until maximum sensory input was noted. 5 cc's of 0.5% bupivacaine was injected through the needle. The needle was then removed and the procedure was repeated in the exact same dimensions on the incision in the region.
I am not sure if this can be coded with CPT 64450, without actually specifying the nerve(s) being targeted or if this should be coded with the unlisted CPT 64999?
Any help/guidance would be greatly appreciated.
Thank you!
