Ask Dr. Z

Can you charge 64520 more than once? In our Vitaware it has a MUE of 1. I am getting referrals to add 64520 two more times.

"Left Lumbar Sympatathetic Block

Once the needle(s) was past the transverse process L2, lateral fluoroscopic views were then used to advance the needle tip(s) to the anterior margin of the vertebral body. After negative aspiration was confirmed, 1 ml of contrast medium was injected at each level, showing good spread along the distribution of the lumbar sympathetic chain on both lateral and AP fluoroscopy. Then, after reconfirming negative aspiration, 10 ml of 0.25% bupivacaine was injected at each level. The needles were then removed and a bandage was placed over the needle insertion sites.

The same procedure was repeated at the L3 and L4 levels."