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I need help with nerve blocks guys..

Hi! Can anyone help me with this?

I got confused because of the terminated attempts. How would you code the following?

– Left L5 dorsal ramus nerve branch block under fluoro guidance with radiologic interpretation.
– Attempted right L5 dorsal ramus nerve branch block under fluoro guidance with radiologic interpretation (terminated at this level due to vascular uptake in the spinal needle despite multiple attempts.)
– Bilateral L4 medial nerve branch blocks under fluoro guidance with radiologic interpretation.
– Left L3 medial nerve branch blocks under fluoro guidance with radiologic interpretation.
– Attempted right L3 medial nerve branch block under fluoro guidance with radiologic interpretation (terminated at this level due to vascular uptake in the spinal needle despite multiple attempts.)

I would very much appreciate your inputs.

Medical Billing and Coding Forum

US guidance for nerve blocks

We do US guidance for the majority of our nerve blocks and use the 26, 59 modifiers. If the block is done for post op pain control, we bill the block and the US. If the block is done for surgical anesthesia, we only bill the US, not the block. We DO get paid for these. Is anyone else billing like this?

Also, if the block is done for surgical anesthesia with US, DURING the procedure, can we still bill the US separately? This is the one that our auditor is having an issue with.

Medical Billing and Coding Forum

Building Blocks Of Medical Coding Jobs

Although medical coding jobs are thought to be replaced by machines and software for the sake of greater efficiency and lower cost, the jury is still out on the matter. As the objective of the task is to digest the description provided by physicians into equivalent codes, this is no easy task to hammer out. The human mind works in strange ways and doctors are no different. Who can forget the infamous joke about doctors handwriting? To overcome the challenge of misinterpreting bad handwriting, they are given computers in which to enter clinical information. Computer fonts are ideally more legible and leave nothing to imagination as compared to scrawls of man.

With the issue of penmanship out of the way, another element worth contemplating is the logical side of this coding business. In a manner of speaking, medical coding jobs serve as a check and balance to the physicians data entries. This is not purported to second guess their ability or quality of work. However, in the course of attending to the many patients, doctors may make the occasional error. Since whatevers in the system is normally taken to be the truth and nothing but the truth, coders are tasked with picking up irregularities for further confirmation before making the final entry. This works to the benefit of all as physicians who rely on these codes are duly compensated and patients are timely reimbursed by insurance firms who honor justified claims.

Since medical coding jobs are more office-based, they are not subject to irregular work hours. This is certainly a plus point for those who prefer a predictable routine barring the occasional overtime to meet a deadline for submission of statistics to requesting authorities. It is a given fact that the duties are akin to laboratory technicians as there is a void of physical contact with patients. Other than just a name and number accompanied by the doctors handwriting, each patient is viewed as a paper folder of varying thickness.

Chris is the writer of this article , you can visit us for more information on Medical Coding Careersand Explore Health Careers .