Ask Dr. Z

Ask Dr. Z Knowledge Base houses over 7,500 coding questions and answers dating back to 2013.

Ask Dr. Z Disclaimer

Please note this question was answered in 2014. The coding advice may or may not be outdated.

SPG Blocks

Date: Jun 13, 2014

Question:

The reason for the exam is h/a with photophobia. Bilateral petrosal canal studies, right and left trigeminal ganglion injections, right and left sphenopalentine block. The nasal studies were simply "visual" studies, so there are no CPT assignments for that, correct? The left SPG block and the left trigeminal ganglion injection were performed from the same catheter, with manipulation to perform the injections, but no separate catheter access, with the same procedure repeated for the right side (and 64400 is bundled into 77002). Would this be reported with codes 77002-59, 64400-50, and 64505-50? Or would this be reported with only codes 77002 and 64505?

Question ID : 5779
Sign up for a membership to view the answer to this question.

Need to ask Dr.Z?

Don't see the answer you're looking for in the knowledge base? No problem. You can ask Dr. Z directly!
Ask Dr. Z a question now!