Billing and Coding: Peripheral Nerve Blocks

This billing and coding article directs that peripheral nerve block services are covered only when they meet the reasonable and necessary criteria in LCD L33933 and must be coded per NCCI guidance (CPT 64400-64530). Documentation must be complete and legible (including provider signature, patient identifiers, ICD-10 and CPT/HCPCS support), state whether the block was diagnostic or therapeutic, include pre/post evaluations and patient education, and justify any additional preemptive analgesia provider involvement.

"Peripheral nerve blocks are covered when they meet the reasonable and necessary requirements specified in LCD L33933."

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