Coding Sphenopalatine

April 28, 2016

One of our physicians treats patients using Sphenopalatine however; he is not preforming this as an injection but as a topical anesthetic. What procedure code should I use? I have found a 64505 code, is this correct? Please advise.

According to CPT Advisors, it would not be appropriate to report code “64505, Injection, anesthetic agent; sphenopalatine ganglion”, as this code represents a procedure requiring the performance of an injection.

Performing the procedure with a topical anesthetic is not reported separately by any CPT code. This would be considered inclusive of an appropriate code. Alternatively, if performed in the absence of an accompanying E/M service, the unlisted code 30999, nose, or 64999, unlisted procedure, nervous system, should be reported.

*This response is based on the best information available as of 04/28/16.

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