AMA CPT® Assistant - 2007 Issue 8 (August)
Surgery: Nervous System (August 2007)
August 2007 page 15a Coding Communication:Surgery: Nervous System Question Is it appropriate to report nerve block codes 64412, 64413, and 64418 more than one time per encounter if the injections are performed bilaterally? AMA Comment The spinal accessory nerve and the suprascapular nerve are bilateral structures. Therefore, when bilateral injections are performed in either of these nerves, codes 64412, Injection, anesthetic agent; spinal accessory nerve, and 64418, Injection, anesthetic agent; suprascapular nerve, may be reported as appropriate, with modifier 50, Bilateral procedure, appended if performed bilaterally. Note, modifier 50 can also be used for bilateral superficial cervical plexus injections...
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