June 8, 2017

Question:
My physician treats migraines by using a Q-tip placed in the nose to apply anesthetic topically.  How is this coded?

Answer:
This is an approach to block the sphenopalatine ganglion, where a Q-tip is used to topically apply anesthetic through the nose. There is not a code for this procedure and it is best reported as part of the E/M service.

*This response is based on the best information available as of 06/08/17.