March 19, 2020
Can I bill fluoroscopy with 64505 for nerve block of the sphenopalatine ganglion, as imaging guidance is not separately billable for other nerve blocks?
While there are some nerve blocks that don’t allow separate billing, 64505 does allow you to bill for image guidance and localization, as stated in the CPT Guidelines. You would use the fluoroscopy add on code +77002-26.
*This response is based on the best information available as of 03/19/20.