What is the CPT code for Paravertebral block?

Paravertebral Facet Joint Injection For one level unilateral or bilateral CPT codes 64490 or 64493 should be used. If the facet joint injection is performed at more than one level unilateral or bilateral CPT codes 64491, 64492, 64494 or 64495 should be used for the additional levels.

What is a paravertebral nerve block?

A paravertebral block is essentially a unilateral block of the spinal nerve, including the dorsal and ventral rami, as well as the sympathetic chain ganglion. These blocks can be performed at any vertebral level. However, they are most commonly performed at the thoracic level because of anatomic considerations.

What does CPT code 64405 mean?

The Current Procedural Terminology (CPT®) code 64405 as maintained by American Medical Association, is a medical procedural code under the range – Introduction/Injection of Anesthetic Agent (Nerve Block), Diagnostic or Therapeutic Procedures on the Somatic Nerves.

How long do Paravertebral blocks last?

A single thoracic paravertebral injection of 25 mL of bupivacaine 0.5% produces pain relief for a mean duration of 10 h and improves respiratory function and arterial blood gases.

Can a nerve block cause damage?

Permanent nerve damage after a peripheral nerve block is very rare. The most common type of nerve damage causes an area of numb skin which is very likely to resolve within a few weeks.

Can 64405 and 64450 be billed together?

Help, please, 64405 (bilateral occipital injection) and 64450 (other peripheral nerve or branch). Both of these procedures were done on the same day of service for a migraine sufferer. Aetna denies 64450 as inclusive to 64405. Chart notes do not warrant the use of modifier 59.

What is the CPT code for medial branch block?

According to the AMA, the code series for medial branch blocks and the facet joint injections are the same (i.e., CPT series 64490-64495), with reporting based on the number of facet joints injected, not the number of nerves injected.

What is the CPT code for a regional Bier block?

There is not a specific code for a Bier Block. You would have to use 64999. Right, thanks for confirming

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 a supraclavicular block?

Many types of blocks lack their own specific CPT code. Interscalene and supraclavicular blocks are both coded as brachial plexus injections (64415), whereas adductor canal blocks are cross-walked to the femoral nerve injection code (64447).