I work in a multi-specialty coding environment, but the 2 busiest are OB/GYN and General Surgery. One of the OB’s says we should bill 64488 Transversus bilateral abdomins plane anesthetic block with his surgeries when applicable and most payers aren’t paying, even with 59 modifiers. So we tried with Lap sleeve gastric bypasses with our General surgeons and we are getting the same results. Does anyone have any input on this subject? The blocks are being done by the surgeons. Most of my research says we shouldn’t bill for it when the surgeons are doing them. Any thoughts???