icd 9 code for saphenous nerve block

by Dr. D'angelo Reilly IV 3 min read

Short description: Inj sympath nerve NEC. ICD-9-CM 954.1 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 954.1 should only be used for claims with a date of service on or before September 30, 2015.

Full Answer

What is the CPT code for nerve blocks?

The CPT code set for nerve blocks is 64400-64530 Peripheral nerve blocks-bolus injection or continuous infusion: 64400 Injection, anesthetic agent; trigeminal nerve, any division or branch 64416 Injection, anesthetic agent; brachial plexus, continuous infusion by catheter (including catheter placement)

What is the CPT code for saphenous nerve pain?

The saphenous nerve is a deep branch of the femoral nerve; therefore, 64447 is correct. I agree with the individual above with the 64445 and 64447 codes. I have experience coding and billing for anesthesia and pain management dealing with post-operative and long-term pain management. Well thank you to all of you. You have been extreamly helpful!

What number for popliteal and saphenous nerve?

That website tells you that the popliteal region is the sciatic nerve. For the poplital block we use 64445 and for the saphenous block we use 64450. I hope this helps! one of my other co workers is telling me to use 64447 for the saphenous block. Does anyone know anything about that?

What is a saphrenous nerve injection?

The saphenous nerve, as indicated in another post, is a distal branch of the femoral nerve. The saphenous nerve can be injected at the patient's ankle which would be quite different from a femoral nerve injection in the groin.

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General Information

CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

CMS National Coverage Policy

Language quoted from CMS National Coverage Determination (NCDs) and coverage provisions in interpretive manuals are italicized throughout the Local Coverage Determination (LCD). NCDs and coverage provisions in interpretive manuals are not subject to the LCD Review Process (42 CFR 405.860 [b] and 42 CFR 426 [Subpart D]).

Article Guidance

This article contains coding and other guidelines that complement the Local Coverage Determination (LCD) for Peripheral Nerve Blocks. National Coverage Non-coverage for prolotherapy, joint sclerotherapy and ligamentous injections with sclerosing agents is found in CMS Publication 100-03, Medicare National Coverage Determinations Manual, Section 150.7. Effective January 21, 2020, all types of acupuncture including dry needling for any condition other than chronic low back pain are non-covered by Medicare.

Bill Type Codes

Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.

Revenue Codes

Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.

Where does the peroneal nerve descend?

From its divergence from the sciatic nerve, the common peroneal nerve continues its path downward and descends along the head and neck of the fibula. Its major branches in this region are branches to the knee joint and cutaneous branches that form the sural nerve.".

What is a popliteal block?

dwaldman. "The popliteal block is a block of the sciatic nerve at the level of the popliteal fossa. ". "The sciatic nerve is a nerve bundle consisting of two separate nerve trunks, the tibial and common peroneal nerves. A common epineural sheath envelops these two nerves at their outset in pelvis.

What is CPT code 76942?

3. CPT codes 76942, 77002, 77003, 77012, and 77021 describe radiologic guidance for needle placement by different modalities. CMS payment policy allows one unit of service for any of these codes at a single patient encounter regardless of the number of needle placements performed. The unit of service for these codes is the patient encounter, not number of lesions, number of aspirations, number of biopsies, number of injections, or number of localizations.#N#Above is from the NCCI policy manual. I am not sure if BCBS has a similiar policy

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