Codes Discussed: 64466 (Unilateral thoracic fascial plane block by injections, with imaging guidance when performed), 64467 (Unilateral thoracic fascial plane block by continuous infusions, with imaging guidance when performed), 64468 (Bilateral thoracic fascial plane block by injections, with imaging guidance when performed), 64469 (Bilateral thoracic fascial plane block by continuous infusions, with imaging guidance when performed), 64473 (Unilateral lower extremity fascial plane block by injections, with imaging guidance when performed), 64474 (Unilateral lower extremity fascial plane block by continuous infusions, with imaging guidance when performed), 64999 (Unlisted procedure, nervous system/lumbar erector spinae block), 64486-64489 (Abdominal fascial plane block/TAP block code range), 64447 (Femoral nerve block/adductor canal block targeting saphenous nerve), 64448 (Continuous infusion femoral nerve block/adductor canal block targeting saphenous nerve), 64490 (Cervical or thoracic paravertebral facet joint injection, single level), 64491 (Cervical or thoracic paravertebral facet joint injection, second level), 64492 (Cervical or thoracic paravertebral facet joint injection, third and any additional level), 64493 (Lumbar or sacral paravertebral facet joint injection, single level), 64494 (Lumbar or sacral paravertebral facet joint injection, second level), 64495 (Lumbar or sacral paravertebral facet joint injection, third and any additional level), KX modifier (Diagnostic facet joint injection modifier), 63650 (Percutaneous implantation of neurostimulator electrode array, epidural), 63655 (Laminectomy for implantation of neurostimulator electrodes, plate or paddle, epidural), 63685 (Insertion or replacement of spinal neurostimulator pulse generator or receiver), modifier 59 (Distinct procedural service/additional percutaneous neurostimulator lead), 95970 (Electronic analysis of implanted neurostimulator pulse generator), 76000 (Fluoroscopic guidance), 77003 (Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures), modifier 58 (Staged or related procedure or service during postoperative period), 63663 (Revision including replacement of spinal neurostimulator electrode percutaneous arrays, including fluoroscopy when performed), 63664 (Revision including replacement of spinal neurostimulator electrode plate or paddle placed by laminotomy or laminectomy, including fluoroscopy when performed), 63661 (Removal of spinal neurostimulator electrode percutaneous arrays, including fluoroscopy when performed), 63662 (Removal of spinal neurostimulator electrode plate or paddle placed by laminotomy or laminectomy, including fluoroscopy when performed), 63688 (Revision or removal of implanted spinal neurostimulator pulse generator or receiver), 62350 (Implantation, revision, or repositioning of tunneled intrathecal or epidural catheter without laminectomy), 62351 (Implantation, revision, or repositioning of tunneled intrathecal or epidural catheter with laminectomy), 62355 (Removal of previously implanted intrathecal or epidural catheter), 62360 (Implantation or replacement of device for intrathecal or epidural drug infusion, subcutaneous reservoir), 62361 (Implantation or replacement of nonprogrammable pump for intrathecal or epidural drug infusion), 62362 (Implantation or replacement of programmable pump for intrathecal or epidural drug infusion, including preparation with or without programming), 62365 (Removal of subcutaneous reservoir or pump for intrathecal or epidural infusion), 62367 (Electronic analysis of programmable implanted pump for intrathecal or epidural drug infusion without reprogramming or refill), 62368 (Electronic analysis of programmable implanted pump with reprogramming), 62369 (Electronic analysis of programmable implanted pump with reprogramming and refill), 62370 (Electronic analysis of programmable implanted pump with reprogramming and refill requiring physician or other qualified health care professional skill), 95990 (Refilling and maintenance of implantable pump or reservoir for spinal or brain drug delivery, includes electronic analysis when performed), 95991 (Refilling and maintenance of implantable pump or reservoir requiring physician or other qualified health care professional skill), 20600 (Small joint or bursa aspiration or injection without ultrasound guidance), 20604 (Small joint or bursa aspiration or injection with ultrasound guidance), 20605 (Intermediate joint or bursa aspiration or injection without ultrasound guidance), 20606 (Intermediate joint or bursa aspiration or injection with ultrasound guidance), 20610 (Major joint or bursa aspiration or injection without ultrasound guidance), 20611 (Major joint or bursa aspiration or injection with ultrasound guidance), 77002 (Fluoroscopic guidance for needle placement), 77012 (Computed tomography guidance for needle placement), 77021 (Magnetic resonance guidance for needle placement), modifier 50 (Bilateral procedure modifier), 64400 (Trigeminal nerve block, each branch), 64405 (Greater occipital nerve block), 64450 (Other peripheral nerve or branch block/lesser occipital nerve block), 64454 (Genicular nerve branches block, including imaging guidance when performed), modifier 52 (Reduced services modifier), 20552 (Trigger point injection, one or two muscles/piriformis injection), 64642 (Chemodenervation of one extremity, 1-4 muscles), 64643 (Chemodenervation of each additional extremity, 1-4 muscles), 64644 (Chemodenervation of one extremity, 5 or more muscles), 64645 (Chemodenervation of each additional extremity, 5 or more muscles), 64646 (Chemodenervation of trunk muscles, 1-5 muscles), 64647 (Chemodenervation of trunk muscles, 6 or more muscles), 64664 (Incorrectly referenced chemodenervation base code in narration; intended context was 64644 for 5 or more extremity muscles), 95873 (Electrical stimulation guidance for chemodenervation), 95874 (Needle electromyography guidance for chemodenervation), modifier 26 (Professional component modifier), 20553 (Trigger point injection, three or more muscles)
Topics Covered: acute pain procedure coding, chronic pain procedure coding, CPT pain management coding, fascial plane block coding, thoracic fascial plane block coding, lower extremity fascial plane block coding, erector spinae plane block coding, thoracic ESP block coding, lumbar ESP block coding, quadratus lumborum block coding, QL block coding, TAP block coding, abdominal fascial plane block coding, rectus sheath block coding, external oblique intercostal block coding, PECS 1 block coding, PECS 2 block coding, serratus anterior plane block coding, parasternal plane block coding, anterior chest wall plane block coding, thoracic paravertebral block coding, fascia iliaca block coding, PENG block coding, iPACK block coding, adductor canal block coding, saphenous nerve block coding, fascial plane versus nerve target documentation, imaging guidance included in block codes, unlisted lumbar ESP procedure coding, facet joint injection coding, zygapophyseal joint coding, Z-joint coding, cervical facet injection coding, thoracic facet injection coding, lumbar facet injection coding, sacral facet injection coding, paravertebral facet joint injection coding, diagnostic facet joint injection coding, therapeutic facet joint injection coding, Medicare LCD facet joint injection requirements, facet intervention medical necessity, chronic neck pain documentation, chronic low back pain documentation, conservative management failure, radiculopathy documentation, neurogenic claudication documentation, pain generator documentation, pain scale documentation, disability scale documentation, radiofrequency ablation candidate documentation, RFA treatment pathway, KX modifier for diagnostic facet injections, diagnostic facet session limits, epidural steroid injection anesthesia documentation, ESI sedation medical necessity, facet joint injection anesthesia documentation, MAC anesthesia audit risk, moderate sedation for pain injections, deep sedation for pain injections, general anesthesia for pain injections, OIG audit findings, trigger point injection LCD, trigger point injection medical necessity, myofascial pain syndrome coding, palpable taut band documentation, focal hypersensitive nodule documentation, multimodal pain management plan, trigger point injection limitations, ultrasound guidance for trigger point injections, trigger point injection session limits, spinal nerve stimulator coding, spinal neurostimulation coding, neurostimulator trial coding, permanent spinal neurostimulator placement coding, neurostimulator electrode implantation, epidural neurostimulator electrode coding, percutaneous neurostimulator lead coding, laminectomy paddle lead coding, neurostimulator pulse generator coding, spinal neurostimulator revision coding, spinal neurostimulator removal coding, neurostimulator generator replacement coding, neurostimulator electronic analysis coding, fluoroscopy included in neurostimulator procedures, staged neurostimulator procedure modifier, intrathecal drug delivery system coding, epidural drug delivery system coding, intrathecal pump coding, epidural pump coding, tunneled intrathecal catheter coding, tunneled epidural catheter coding, catheter implantation coding, catheter revision coding, catheter repositioning coding, catheter removal coding, subcutaneous reservoir coding, nonprogrammable pump coding, programmable pump coding, pump replacement coding, pump removal coding, pump electronic analysis coding, pump reprogramming coding, pump refill coding, physician skill pump refill coding, implantable pump maintenance coding, arthrocentesis coding, joint aspiration coding, joint injection coding, small joint injection coding, intermediate joint injection coding, major joint injection coding, ultrasound-guided joint injection coding, permanent image recording documentation, fluoroscopic guidance for needle placement, CT guidance for needle placement, MRI guidance for needle placement, multiple joint injections coding, bilateral joint injection coding, aspiration and injection same joint coding, acromioclavicular joint coding, subacromial bursa coding, olecranon bursa coding, carpometacarpal joint coding, trigeminal nerve block coding, ophthalmic nerve branch coding, maxillary nerve branch coding, mandibular nerve branch coding, trigeminal terminal branch coding, supratrochlear branch injection coding, supraorbital branch injection coding, occipital nerve block coding, greater occipital nerve block coding, lesser occipital nerve block coding, peripheral nerve block coding, genicular nerve block coding, chronic knee pain injection coding, superolateral genicular nerve branch, superomedial genicular nerve branch, inferomedial genicular nerve branch, reduced service modifier for incomplete genicular block, piriformis injection coding, extremity chemodenervation coding, botulinum toxin injection coding, Botox procedure coding, chemodenervation versus nerve block, spasticity treatment coding, dystonia treatment coding, tic treatment coding, chemodenervation muscle count coding, extremity muscle chemodenervation coding, add-on chemodenervation codes, bilateral chemodenervation coding, trunk muscle chemodenervation coding, erector spinae muscle chemodenervation, rectus abdominus chemodenervation, oblique muscle chemodenervation, paraspinal muscle chemodenervation, EMG guidance for chemodenervation, electrical stimulation guidance for chemodenervation, professional component modifier, CPT modifier guidance, CPT add-on code guidance, Medicare NCCI pain procedure coding, pain procedure documentation, procedure coding compliance, pain management audit risk
