Question:
New codes 64454 and 64624 were introduced for 2020 for genicular nerve blocks and destruction. Does the doctor need to document anything specific for these codes?
Answer:
Yes, for both codes, documentation must support that the superolateral, superomedial and inferomedial branches were all injected. If the doctor does not inject all three branches, or the documentation does not indicate that all three branches were injected, modifier 52 must be added to the code.
CPT® copyright 2024 American Medical Association (AMA). All rights reserved.
Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
CPT is a registered trademark of the American Medical Association.
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