ABorchardt
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I am having trouble with an insurance company (Medicare Advantage Plan) not wanting to pay us for a PENG post op nerve block performed for a THA revision surgery June 2024. We billed CPT 64999 for the PENG block performed by our physician. They are using Encoderpro and 2022 reference material that instructs to use CPT 64450 or 64447. I thought per CPT assistant 2023 and a Coding Symposium attended fall 2023, we are to use the unlisted code 64999. We have sent in our records to them and they say no, change it to these codes which I feel is incorrect. Can anyone help me with this?