8. CPT codes 64400-64530 describe injection of anesthetic agent for diagnostic or therapeutic purposes, the codes being distinguished from one another by the named nerve and whether a single or continuous infusion by catheter is utilized. All injections into the nerve including branches described (named) by the code descriptor at a single patient encounter constitute a single unit of service(UOS). For example:
(1) If a physician injects an anesthetic agent into multiple areas around the sciatic nerve at a single patient encounter, only one UOS of CPT code 64445 (injection, anesthetic agent; sciatic nerve, single) may be reported.
(2) If a physician injects the superior medial and lateral branches and inferior medial branches of the left genicular nerve, only one UOS of CPT code 64450 (Injection, anesthetic agent; other peripheral nerve or branch) may be reported regardless of the number of injections needed to block this nerve and its branches.
Can anyone share information on Antepartum Billing for a multi provider practice? Specifically where there are 3 providers that see a patient for antepartum care, if there will not be a global charge billed, how would you determine who to assign the antepartum care to? In the past we have totaled up the number of visits and then the provider with the most visits would get the antepartum care code assigned to them and thereby get the associated RVU for the patient. If any one has any other suggestions please share! We have a new provider that is disputing this method.