Wiki Neuro Nerve Block Injection

[nazcoder]

Season Greetings everyone..an established patient presents to Neurology for scheduled Nerve Block Injection:

a) Greater Occipital Nerve Block - bilateral;
b) Lesser Occipital Nerve Block - bilateral.

since this is a scheduled procedure visit, I wIll code the facility charges and CPT professional Procedures (no E/M), charges only as follows:

64405 50
64450 50

is it necessary to include modifier 59? this is a Medicare patient..Thank you for your assistance in advance and enjoy your holidays

 

[Walker22]

Why are you even using two lines? 64405-50 designates a bilateral procedure all by itself without need for another line item.

 

[werner03]

no modifier is needed according to CCI edits

 

[nazcoder]

Thank you Werner. I think my question may have been misunderstood. The procedure calls for injection into both the Greater Occipital Nerve (64405) and Lesser Occipital Nerve (64450). Are these types of injections bilateral? CPT book does not indicate so. It also indicates that these codes are not used in conjunction with each other. This being the case, my quesiton is: would I add MOD 59 to 64450? Therefore, final charges would be as follows:

64405 50
64450 50 59

Thanks again.