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PENG (Pericapsular Nerve Group) postoperative pain block CPT coding
Question:
We would like guidance coding pericapsular nerve group (PENG) post-op pain blocks that meet criteria for coding separately from surgical anesthesia. Per National Library of Medicine (NIH), PENG block is a regional analgesia technique to reduce pain after total hip arthroplasties while sparing motor function. Technique involves the deposition of local anesthetic in the fascial plane between the psoas muscle and superior pubic ramus. This is an interfascial plane block aiming to block articular branches supplied by femoral, obturator, and accessory obturator nerves as an alternative to other regional nerve blocks such as femoral nerve block or iliac fascia nerve block.
Since no nerve is specifically named in the descriptor, would we code a PENG block to 64450? Or, considering PENG is an interfascial plane block, should we report code 64999 similar to an IPACK block?
https://www.ncbi.nlm.nih.gov/b...
CPTA, Jun 20 p14: iPack block, correct reporting
Coding Clinic for HCPCS 4Q 2019 p10: iPack nerve block
CPTA Jul 22 p13: Nerve block clarification
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