Sphenopalatine Block Coding – #1

May 25, 2017

One of our physicians is using a device to deliver medication through the nose when a sphenopalatine ganglion block is performed under fluoroscopic guidance for patients with migraine headaches. Is 64505 appropriate? If not, what code should be used?

There is no specific CPT code that accurately describes this service. The code set includes code 64505, which describes the injection of the sphenopalatine ganglion; however, it is inappropriate to report this code since an injection is not performed. Therefore, Per CPT, the unlisted code 64999, unlisted procedure, nervous system, should be reported.

*This response is based on the best information available as of 05/25/17.


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