October 3, 2019
My doctor has introduced us to a code he would like to bill. I have researched this pretty heavily and included another coder in the research and she could find no reason why we could not code it. However, I have found that our billing system is sometimes giving me a bundling error stating that the nerve block is included with our primary procedures such as the breast reconstruction code. Can we bill 64450 (Injection, anesthetic agent; other peripheral nerve or branch) for injections performed to help with post-operative pain management?
Actually, these types of injections are not separately reported. Postoperative pain management is included in the global surgical package and should not be separately coded or billed using a nerve block or injection code.
*This response is based on the best information available as of 10/03/19.