March 29, 2018
Can I report 19364 (breast reconstruction) and CPT 64421-59 (nerve block) on the same breast for post-operative pain management? I have been submitted both to Medicare with Modifier 59 and have been receiving denials for 64421.
CPT code 64421 for the injection of the anesthetic agent is included in the breast reconstruction procedures and cannot be reported separately.
*This response is based on the best information available as of 03/29/18.