Wiki paracervical block with procedure

[Karen A.]

When billing a paracervical block, CPT 64435, along with an inoffice surgery ie: 58563-hysteroscopy with endometrial ablation, what is the proper modifier to add to the paracervical block? -51 or -59?

 

[preserene]

I would go for -59 to show it is not a component of the major procedure (so that it is not bundled one) and that it is a separate and distinct procedure-a therapeutic nerve block performed by the same physician. Any more suggestion please?

 

[smobleybraun]

You may want to check the NCCI edits on this one. I believe the paracervical block is considered an integral component of 58563 with no modifiers allowed.