One of our doctor wants to start doing the new PECS block for post-op pain on his breast surgery cases, but before doing it, he just wants to know on how are we gonna bill for it. We(coders) suggested based on the researched that we have done to use 64417(axillary block) or 64420(intercostal block). Our doctor disagree with the code and said its more of the paravertebral block (CPT 64490) or the other peripheral nerve block (CPT 64450). Any one here ever billed for this blocks? Are we just gonna bill for the 64450 (any peripheral nerve block) for it. Any input on this subject matter will be much appreciated. Thank you.
Thoracic wall (PECS) blocks. What CPT code to bill?
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