TAP block billing

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nvrsumr

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Saw these new codes from my biller for tap blocks. Is this just postoperative? I currently bill 76942 and 64425.


Extracranial Nerves, Peripheral Nerves, and Autonomic Nervous System
Introduction/Injection of Anesthetic Agent (Nerve Block), Diagnostic or Therapeutic
Four codes (64486-64489) have been established to report administration of local anesthetic for postoperative pain
control and abdominal wall analgesia, including imaging guidance when performed.79
New
Codes Code Description
64486 Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block)
unilateral; by injection(s) (includes imaging guidance, when performed)
64487
Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block)
unilateral; by injection(s) (includes imaging guidance, when performed), by continuous
infusion(s) (includes imaging guidance, when performed)
64488 Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block)
bilateral; by injections (includes imaging guidance, when performed)
64489
Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block)
bilateral; by injections (includes imaging guidance, when performed),by continuous infusions

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new codes for 2015. imaging bundled into the procedure specifically for TAP block, including rectus sheath. cannot bill 76942 with it

can still bill it with ilioinguinal, iliohypogastric, genfem which are essentially the same procedure done at different places
 
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