The genicular nerves are the nerves that provide sensation and pain into the knee joint. Radiofrequency ablation (RFA) of the genicular nerves is an increasingly common approach to managing chronic knee pain.Currently, the same codes also can be used for adductor canal and saphenous nerve blocks. The nerves that supply these facet joints are called the medial branch nerves. In recent years, investigators have sought to identify genicular RFA protocols that may provide more significant and durable improvement in pain and function by targeting additional nerves and accounting for the variability of genicular nerve location between individuals. The femoral nerve block (one of the most common nerve blocks, according to a recent ABC client survey) is coded with CPT code 64447 for a single injection and 64448 for a catheter insertion.The AMA responded as follows: The IPACK block is directed at a tissue plane, not at a specific nerve.Local nerve blocks are usually temporary, although some may be repeated over time. Possible Hospital Inpatient ICD-10-PCS Codes3. Injections for plantar fasciitis are billed with CPT code 20550 and ICD-9-CM 728.
Codes may be covered for the Medicare Business Segment.
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