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Fascia iliaca and popliteal single-shot vs. continuous infusion

Date: Sep 7, 2022

Question:

Our coding group is having discussions on post-op pain block reporting for the facility. Over the years, CPT Assistant and Coding Clinic for HCPCS have given advice, and we want to be sure we are interpreting current guidance correctly.

Per CPT Assistant, January 2021, CPT code 64999 should be used for a continuous fascia iliaca pain block. Is code 64450 still correct for a single-shot fascia iliaca pain block (per CPT Assistant, September 2015)?

We have pre-operative ultrasound-guided popliteal blocks from a popliteal fossa approach done by the anesthesia team for post-op pain for foot/ankle surgeries. We have been reporting these with 64450. If this type of block is a continuous infusion, is code 64450 still correct for this circumstance, or should we report 64446 or 64999 instead?

Question ID : 17732
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