What is procedure code 64454?

What is procedure code 64454?

64454. INJECTION(S), ANESTHETIC AGENT(S) AND/OR STEROID; GENICULAR NERVE BRANCHES, INCLUDING IMAGING GUIDANCE, WHEN PERFORMED. 64455. INJECTION(S), ANESTHETIC AGENT AND/OR STEROID, PLANTAR COMMON DIGITAL NERVE(S) (EG, MORTON’S NEUROMA)

What is a Genicular block?

A Genicular nerve block is a procedure where these nerves are anesthetized (“blocked”) with local anesthetic injected through small needles. The procedure is performed with live x-ray guidance (fluoroscopy) to ensure proper needle placement.

What is the CPT code 64624?

Destruction by neurolytic agent
Be Prepared for New and Revised CPT Codes for Somatic Nerve Injections and Destruction

​CPT Code​ CPT Descriptor
64624 Destruction by neurolytic agent, genicular nerve branches including imaging guidance, when performed

What is peripheral nerve block anesthesia?

Peripheral nerve blocks are a type of regional anesthesia. The anesthetic is injected near a specific nerve or bundle of nerves to block sensations of pain from a specific area of the body. Nerve blocks usually last longer than local anesthesia.

Does 64454 include fluoroscopy?

The spinal puncture codes now include “with fluoroscopic or CT guidance” so that a single code can be reported when there is fluoroscopic or CT guidance. Codes 64451 and 64454 were added to the code set. These codes do include imaging guidance when performed.

How long does a genicular nerve block last?

This relief may last anywhere from 6 months to two years. Risks: Genicular nerve block/neurotomy is considered an appropriate non-surgical treatment for many patients who suffer from this type of pain. The procedure itself is very safe and has minimal risks.

Does a genicular nerve block hurt?

Is Genicular Nerve Block Painful? Genicular nerve block procedures require the use of a needle. For many people, the injection causes mild pain. However, IV sedation can help relieve discomfort or anxiety before and during the procedure.

How do you bill for Rocephin injection?

You should bill J0696 (ceftriaxone sodium, per 250 mg) with four HCPCS units. Because this drug comes in powder form, you should bill the NDC units as two units (also called two each) (UN2).

Does CPT code 64624 include fluoroscopy?

The code includes destruction (e.g., chemical means, radiofrequency ablation) of all branches of the genicular nerve including the the superolateral, superomedial, and inferomedial genicular nerves. CPT 64624 also includes fluoroscopic/imaging guidance so you would not report a separate radiology code (7xxxx).

What is the CPT code for a peripheral block?

CPT code 64450 describes therapeutic peripheral nerve block, which includes, but is not limited to, injection treatment of tarsal tunnel syndrome, sural nerve entrapment, and medial calcaneal nerve branch neuritis.

What is the CPT code for spinal block?

There is not a specific CPT code for a spinal hardware block. Use an unlisted code 64999. When reporting an unlisted code to describe a procedure or service, it is necessary to submit supporting documentation with the claim to provide an adequate description of the nature, extent,…

What is the CPT code for selective nerve root injection?

The physician indicated he performed a Selective nerve root block which is also known as Transforaminal injections (CPT 64479-64484 and these are specified for what level was injected;cervical or thoracic and lumbar or sacral).