Pain Management coding and billing can be confusing. You must have at least a little knowledge with Anatomy and Physiology to be successful in this area of billing and coding. Your Billing Codes for the Peripheral Nerve Ablation are listed below. 64600 Destruction by neurolytic agent, trigeminal nerve; supraorbital, intraorbital, mental, or interior alveolar branch 64605 Desctruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale 64610 Desctruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic monitoring 64620 Destruction by neurolytic agent, intercostal nerve 64624 Destruction by neurolytic agent, genicular nerve branches including imaging guidance, when performed 64630 Destruction by neurolytic agent, pudendal nerve 64640 Destruction by neurolytic agent, other peripheral nerve or branch 64680 Destruction by neurolytic agent, with or without radiologic monitoring; celliac plexus 64681 Destruction by neurolytic agent, with or without radiologic monitoring; superior hypogastric plexus Below are the list of billing codes for Peripheral Nerve Block Injection. 64400 Injection, anesthetic agent; trigeminal nerve, any division or branch 64418 Injection, anesthetic agent; suprascapular nerve 64420 Injection, anesthetic agent; intercostal nerve, single 64421 Injection, anesthetic agent; intercostal nerves, multiple, regional block 64425 Injection, anesthetic agent, ilioinguinal, iliohypogastric nerves 64430 Injection, anesthetic agent, pudendal nerve 64447 Injection, anesthetic agent; femoral nerve, single 64450 Injection, anesthetic agent; other peripheral nerve or branch 64454 Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed 64505 Injection, anesthetic agent; sphenopalatine ganglion 64510 Injection, anesthetic agent; stellate ganglion (cervical sympathetic) 64517 Injection, anesthetic agent; superior hypogastric plexus 64520 Injection, anesthetic agent; lumbar or thoracic (paravertebral sympathetic) 64530 Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring Key points to remember:
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Ms. Pinky Maniri-Pescasio, MSC, CSPPM, CRCR, CSBI, CSPR, CSAF is the Founder of GoHealthcare Consulting. She is a National Speaker on Practice Reimbursement and a Physician Advocate. She has served the Medical Practice Industry for more than 25 years as a Professional Medical Practice Consultant. Current HFMA Professional Expertise Credentials: HFMA Certified Specialist in Physician Practice Management (CSPPM) HFMA Certified Specialist in Revenue Cycle Management (CRCR) HFMA Certified Specialist Payment & Reimbursement (CSPR) HFMA Certified Specialist in Business Intelligence (CSBI) search hereArchives
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