G0282 — Electrical stimulation, (unattended), to one or more areas, for wound care other than described in g0281
HCPCS/CPT
Prior Authorization
No Prior Auth Required
No active coverage policies found for this code (low confidence)
Medicare Pricing
Work RVU
0.00
Facility
N/A
Non-Facility
N/A
Documentation Required
- All documentation must be maintained in the patient’s medical record and be legible with appropriate patient identification (e.g., complete name, dates of service) on every page.
- The record must identify the physician or non-physician practitioner responsible for and providing the care to the patient.
- The submitted medical record must support the selected diagnosis code(s) and the submitted CPT/HCPCS code must accurately describe the service performed.
- Patient medical record must include the ordering provider's assessment related to the patient's complaint for that visit and relevant medical history.
Key Coverage Criteria
- CPT 64450 is appropriate when a qualified health care professional performs a direct injection (nerve block) of an anesthetic agent and/or steroid into a peripheral nerve for treatment of peripheral neuropathy.
- Code 64450 addresses the additional work of performing a nerve block (direct peripheral nerve injection) rather than injections into surrounding subcutaneous tissue.
- Peripheral nerve injection/nerve block for peripheral neuropathy may be covered when the medical record documents that the service is medically necessary for the patient's specific condition.
- Nerve block evaluation and treatment is indicated for chronic pain defined as pain present continuously or intermittently for >= 3 months despite prior therapy.
- Diagnostic nerve blocks (including injection of saline or local anesthetic) are indicated to identify the pain-generating nerve, determine nerve type, or distinguish peripheral versus central pain origin and to assess suitability for neurolytic or surgical interventions.
- Therapeutic nerve blocks are indicated for painful conditions known to respond to nerve blockade, including sympathetic-mediated syndromes and celiac plexus block for pancreatic cancer pain.
20 Active Policies
L35222 — Nerve Blocks for Peripheral Neuropathy
J05
A57589 — Billing and Coding: Nerve Blocks for Peripheral Neuropathy
J05
CGS-L35249 — Nerve Blocks for Peripheral Neuropathy
J18 MAC Part B
WPS-L35222 — Nerve Blocks for Peripheral Neuropathy
J8 MAC Part B
Related Codes
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