Last Review: May 7, 2021 Page 2 Of 40
Peripheral Nerve BlocksLast Review Date: May 7, 2021Number: MG.MM.ME.64C4Medical Guideline DisclaimerProperty of EmblemHealth. All rights reserved. The treating physician or primary care provider must submit to EmblemHealth the clinical evidencethat the patient meets the criteria for the treatment or surgical procedure. Without this documentation and information, EmblemHealth will notbe able to properly review the request for prior authorization. The clinical review criteria expressed below reflects how EmblemHealth determineswhether certain services or supplies are medically necessary. EmblemHealth established the clinical review criteria based upon a review ofcurrently available clinical information (including clinical outcome studies in the peer reviewed published medical literature, regulatory status ofthe technology, evidence-based guidelines of public health and health research agencies, evidence-based guidelines and positions of leadingnational health professional organizations, views of physicians practicing in relevant clinical areas, and other relevant factors). EmblemHealthexpressly reserves the right to revise these conclusions as clinical information changes and welcomes further relevant information. Each benefitprogram defines which services are covered. The conclusion that a particular service or supply is medically necessary does not constitute arepresentation or warranty that this service or supply is covered and/or paid for by EmblemHealth, as some programs exclude coverage forservices or supplies that EmblemHealth considers medically necessary. If there is a discrepancy between this guideline and a member's benefitsprogram, the benefits program will govern. In addition, coverage may be mandated by applicable legal requirements of a state, the FederalGovernment or the Centers for Medicare & Medicaid Services (CMS) for Medicare and Medicaid members. All coding and web site links areaccurate at time of publication. EmblemHealth Services Company LLC, (“EmblemHealth”) has adopted the herein policy in providing management,administrative and other services to EmblemHealth Plan, Inc., EmblemHealth Insurance Company, EmblemHealth Services Company, LLC andHealth Insurance Plan of Greater New York (HIP) related to health benefit plans offered by these entities. All of the aforementioned entities areaffiliated companies under common control of EmblemHealth Inc.DefinitionsPeripheral nerves can be the cause of pain in a variety of conditions. Sometimes the nerves are thesource of the pain and sometimes the nerves merely are carrying impulses from painful tissues.Examples may include: postherniorrhaphy pain (ilioinguinal/iliohypogastric/genitofemoral), iliac crestharvest syndromes (cluneal nerve, lateral femoral cutaneous nerve), carpal tunnel syndrome (mediannerve), Morton’s neuroma, facial pain and headaches (trigeminal and occipital nerve). Peripheral nerveblocks may be used for both diagnostic and therapeutic purposes. Diagnostically, a peripheral nerveblock allows the clinician to isolate the specific cause of pain in an individual patient. The injection oflocal anesthetic, with or without steroid may also provide an extended therapeutic benefit. If the patientdoes not achieve sustained relief a denervation procedure via chemical, cryoneurolysis orradiofrequency may not be effective at providing long term relief.Related Medical GuidelinesAcupuncture for Chronic Lower Back Pain - MedicarePain ManagementGuidelineNote: the term "Morton's neuroma" is used in this guideline generically to refer to a swollen inflamed nerve in the ball ofthe foot, including the more specific conditions of Morton's neuroma (lesion within the third intermetatarsal space),Heuter's neuroma (first intermetatarsal space), Hauser's neuroma (second intermetatarsal space) and Iselin's neuroma(fourth intermetatarsal space). This guideline applies to each such condition.Peripheral nerve blocks are considered medically reasonable and necessary for normally temporaryconditions, such as the following (1–7), for diagnostic and therapeutic purposes:1. When pain appears to be due to a classic mononeuritis, but neuro-diagnostic studies have failedto provide a structural explanation. In this scenario, selective peripheral nerve blockade canusually clarify the situation (for diagnostic purposes and not long term treatment).
Peripheral Nerve BlocksLast review: May 7, 2021Page 2 of 402. When peripheral nerve injuries/entrapment or other extremity trauma leads to complexregional pain syndrome.3. When selective peripheral nerve blockade is used diagnostically in those cases in which theclinical picture is unclear (for diagnostic purposes and not long term treatment).4. When an occipital nerve block is used to confirm the clinical impression of the presence ofoccipital neuralgia.Chronic headache/occipital neuralgia can result from chronic spasm of the neck muscles as theresult of either myofascial syndrome or underlying cervical spinal disease. It may be unilateral orbilateral, constant or intermittent. Nerve injury secondary to localized head trauma or trauma tothe nerve from a scalp laceration can also cause this condition. Most commonly it is caused byan entrapment of the occipital nerve in its course from its origin from the C2 nerve root to itsentrance into the scalp through the mid portion of the superior nuchal line. Blockage of theoccipital nerve can confirm the clinical impression of occipital neuralgia particularly if the clinicalpicture is not entirely typical. If only temporary relief of symptoms is obtained, neurolysis of thegreater occipital nerve may be considered via multiple techniques including radiofrequency andcryoanalgesia. In addition, the lesser and third occipital nerves can be involved in the pathologyof headaches and can be treated in a similar manner.5. When the suprascapular nerve block is used to confirm the diagnosis of suspected entrapmentof the nerve.Entrapment of the suprascapular nerve as it passes through the suprascapular notch canproduce a syndrome of pain within the shoulder with weakness of supraspinatus andinfraspinatus muscles. When the history and examination point to the diagnosis, a suprascapularnerve block leading to relief of pain can confirm it. This may be followed by injection ofdepository steroids that sometime provide lasting relief.6. When the trigeminal nerve is blocked centrally at the trigeminal ganglion, or along one of thethree divisions or at one of the many peripheral terminal branches (i.e., supraorbital nerve).7. Nerve blocks as preemptive analgesia; either:a. When a single injection peripheral nerve block provides post-surgical pain control; any:i. During the transition to oral analgesicsii. In those procedures which cause severe pain normally uncontrolled by oralanalgesicsiii. In cases otherwise requiring control with intravenous or parenteral narcoticsiv. In cases where the member cannot tolerate treatment with narcotics due toallergy or side effects, etc.b. When a continuous peripheral nerve block provides the same as above, andfurthermore may provide extended relief (i.e. 1–5 or more days) as a result of chronicadministration of anesthetic.Additional management using medications, behavioral therapy, and physical therapy should be used(when appropriate) in conjunction with peripheral nerve block.Injection of depository steroids, may offer only temporary relief. In some cases, neurolysis may beappropriate to provide lasting relief.Preemptive analgesia starts before surgery, and a presumption of medical necessity is being made beforethe fact. Therefore, based on generally accepted clinical standards and evidence in peer reviewed medicalliterature the surgical procedure must be of such nature that the patient would benefit from thepreemptive analgesia.
Peripheral Nerve BlocksLast review: May 7, 2021Page 3 of 40Limitations/Exclusions1. The signs and symptoms that justify peripheral nerve blocks should be resolved after 1–3injections at a specific site. They cannot be for clinical situations (as mentioned below) wherenerve blocks are not medically necessary per the guideline criteria above.2. More than 3 injections per anatomic site (e.g., specific nerve, plexus or branch as defined by theCPT code description) in a 6 month period will be denied. These blocks should last 2 months inorder to be deemed successful. In rare exceptions with appropriate documentation, there is alimit of 3 blocks per 6 month period.3. More than 2 anatomic sites (e.g., specific nerve, plexus or branch as defined by the CPT codedescription) injected at any one session will be denied. If the member does not achieveprogressively sustained relief after receiving 2–3 repeat peripheral nerve block injections on thesame anatomical site, then alternative therapeutic options should be explored.4. There is insufficient evidence to support the use of peripheral nerve blocks in the treatment ofdiabetic peripheral neuropathy, peripheral neuropathies caused by other underlying systemicdiseases or peripheral neuropathies causes such as degenerative or idiopathic reasons. Medicalmanagement using systemic medications is clinically indicated for the treatment of theseconditions.5. At present, the literature and scientific evidence supporting the use of peripheral nerve blockswith or without the use of electrostimulation, and the use of electrostimulation alone forneuropathies or peripheral neuropathies caused by underlying systemic diseases is insufficientto warrant coverage. These procedures are considered investigational and are not eligible forcoverage for the treatment of neuropathies or peripheral neuropathies caused by underlyingsystemic diseases. Use of physical medicine and rehabilitation CPT/HCPCS codes (97032, 97139,G0282, G0283) for treatment of neuropathies or peripheral neuropathies caused by underlyingsystemic diseases is inappropriate.6. The use of ultrasound guidance in conjunction with these non-covered injections is alsoconsidered not medically necessary and will result in denial.7. Injection into neuromas may be indicated to relieve pain or dysfunction resulting frominflammation or other pathological changes. Proper use of this modality with local anestheticsand/or steroids should be short- term, as part of an overall management plan includingdiagnostic evaluation, in order to clearly identify and properly treat the primary cause.8. Injection therapies for tarsal tunnel syndrome (which include any so-called "Baxter's injections")and for Morton's neuroma (CPT code 64455) do not involve the structures described by CPTcode 20550 and 20551 or direct injection into other peripheral nerves but rather the focalinjection of tissue surrounding a specific focus of inflammation on the foot.9. Injections for plantar fasciitis are addressed by CPT code 20550, not CPT code 64450. Injectionsfor calcaneal spurs are addressed as are other tendon origin/insertions by CPT code 20551.Injections to include both the plantar fascia and the area around a calcaneal spur, are to bereported using only CPT code 20551 with a unit of service of “1”.10. Medical necessity for injections of 2 sites at one session, or for frequent or repeatedinjections, is questionable and not supported by peer literature that is indexed in PubMed of theUS National Library of Medicine of the National Institutes of Health (NIH).11. "Dry needling" (CPT codes 20560 and 20561) of ganglion cysts, ligaments, neuromas, peripheralnerves, tendon sheaths and their origins/insertions, or any tissue are non-covered procedures.
Peripheral Nerve BlocksLast review: May 7, 2021Page 4 of 40Applicable Procedure 64640Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary,mandibular)Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerveInjection(s), anesthetic agent(s) and/or steroid; brachial plexusInjection(s), anesthetic agent(s) and/or steroid; brachial plexus, continuous infusion by catheter (includingcatheter placement)Injection(s), anesthetic agent(s) and/or steroid; axillary nerveInjection(s), anesthetic agent(s) and/or steroid; suprascapular nerveInjection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single levelInjection(s), anesthetic agent(s) and/or steroid; intercostal nerve, each additional level (List separately inaddition to code for primary procedure)Injection(s), anesthetic agent(s) and/or steroid; ilioinguinal, iliohypogastric nervesInjection(s), anesthetic agent(s) and/or steroid; pudendal nerveInjection(s), anesthetic agent(s) and/or steroid; sciatic nerveInjection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (includingcatheter placement)Injection(s), anesthetic agent(s) and/or steroid; femoral nerveInjection(s), anesthetic agent(s) and/or steroid; femoral nerve, continuous infusion by catheter (includingcatheter placement)Injection(s), anesthetic agent(s) and/or steroid; lumbar plexus, posterior approach, continuous infusion bycatheter (including catheter placement)Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branchInjection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance,when performedInjection(s), anesthetic agent and/or steroid, plantar common digital nerve(s) (eg, Morton's neuroma)Destruction by neurolytic agent, genicular nerve branches including imaging guidance, when performed (eDestruction by neurolytic agent; other peripheral nerve or branchApplicable Diagnosis CodesB02.22Postherpetic trigeminal neuralgiaB02.23Postherpetic polyneuropathyB02.9Zoster without complicationsC00.0Malignant neoplasm of external upper lipC00.1Malignant neoplasm of external lower lipC00.3Malignant neoplasm of upper lip, inner aspectC00.4Malignant neoplasm of lower lip, inner aspectC00.6Malignant neoplasm of commissure of lip, unspecifiedC00.8Malignant neoplasm of overlapping sites of lipC00.9Malignant neoplasm of lip, unspecifiedC01Malignant neoplasm of base of tongueC02.0Malignant neoplasm of dorsal surface of tongueC02.1Malignant neoplasm of border of tongueC02.2Malignant neoplasm of ventral surface of tongueC02.3Malignant neoplasm of anterior two-thirds of tongue, part unspecifiedC02.4Malignant neoplasm of lingual tonsilC02.8Malignant neoplasm of overlapping sites of tongue
Peripheral Nerve BlocksLast review: May 7, 2021Page 5 of 40C02.9Malignant neoplasm of tongue, unspecifiedC03.0Malignant neoplasm of upper gumC03.1Malignant neoplasm of lower gumC04.0Malignant neoplasm of anterior floor of mouthC04.1Malignant neoplasm of lateral floor of mouthC04.8Malignant neoplasm of overlapping sites of floor of mouthC05.0Malignant neoplasm of hard palateC05.1Malignant neoplasm of soft palateC05.2Malignant neoplasm of uvulaC05.8Malignant neoplasm of overlapping sites of palateC05.9Malignant neoplasm of palate, unspecifiedC06.0Malignant neoplasm of cheek mucosaC06.1Malignant neoplasm of vestibule of mouthC06.2Malignant neoplasm of retromolar areaC06.80Malignant neoplasm of overlapping sites of unspecified parts of mouthC06.89Malignant neoplasm of overlapping sites of other parts of mouthC06.9Malignant neoplasm of mouth, unspecifiedC07Malignant neoplasm of parotid glandC08.0Malignant neoplasm of submandibular glandC08.1Malignant neoplasm of sublingual glandC08.9Malignant neoplasm of major salivary gland, unspecifiedC09.0Malignant neoplasm of tonsillar fossaC09.1Malignant neoplasm of tonsillar pillar (anterior) (posterior)C09.8Malignant neoplasm of overlapping sites of tonsilC09.9Malignant neoplasm of tonsil, unspecifiedC10.0Malignant neoplasm of valleculaC10.1Malignant neoplasm of anterior surface of epiglottisC10.2Malignant neoplasm of lateral wall of oropharynxC10.3Malignant neoplasm of posterior wall of oropharynxC10.4Malignant neoplasm of branchial cleftC10.8Malignant neoplasm of overlapping sites of oropharynxC10.9Malignant neoplasm of oropharynx, unspecifiedC11.0Malignant neoplasm of superior wall of nasopharynxC11.1Malignant neoplasm of posterior wall of nasopharynxC11.2Malignant neoplasm of lateral wall of nasopharynxC11.3Malignant neoplasm of anterior wall of nasopharynxC11.8Malignant neoplasm of overlapping sites of nasopharynxC11.9Malignant neoplasm of nasopharynx, unspecifiedC12Malignant neoplasm of pyriform sinusC13.0Malignant neoplasm of postcricoid regionC13.1Malignant neoplasm of aryepiglottic fold, hypopharyngeal aspectC13.2Malignant neoplasm of posterior wall of hypopharynxC13.8Malignant neoplasm of overlapping sites of hypopharynx
Peripheral Nerve BlocksLast review: May 7, 2021Page 6 of 40C13.9Malignant neoplasm of hypopharynx, unspecifiedC14.0Malignant neoplasm of pharynx, unspecifiedC14.2Malignant neoplasm of Waldeyer's ringC14.8Malignant neoplasm of overlapping sites of lip, oral cavity and pharynxC15.3Malignant neoplasm of upper third of esophagusC15.4Malignant neoplasm of middle third of esophagusC15.5Malignant neoplasm of lower third of esophagusC15.8Malignant neoplasm of overlapping sites of esophagusC15.9Malignant neoplasm of esophagus, unspecifiedC16.0Malignant neoplasm of cardiaC16.1Malignant neoplasm of fundus of stomachC16.2Malignant neoplasm of body of stomachC16.3Malignant neoplasm of pyloric antrumC16.4Malignant neoplasm of pylorusC16.5Malignant neoplasm of lesser curvature of stomach, unspecifiedC16.6Malignant neoplasm of greater curvature of stomach, unspecifiedC16.8Malignant neoplasm of overlapping sites of stomachC16.9Malignant neoplasm of stomach, unspecifiedC17.0Malignant neoplasm of duodenumC17.1Malignant neoplasm of jejunumC17.2Malignant neoplasm of ileumC17.3Meckel's diverticulum, malignantC17.8Malignant neoplasm of overlapping sites of small intestineC17.9Malignant neoplasm of small intestine, unspecifiedC18.0Malignant neoplasm of cecumC18.1Malignant neoplasm of appendixC18.2Malignant neoplasm of ascending colonC18.3Malignant neoplasm of hepatic flexureC18.4Malignant neoplasm of transverse colonC18.5Malignant neoplasm of splenic flexureC18.6Malignant neoplasm of descending colonC18.7Malignant neoplasm of sigmoid colonC18.8Malignant neoplasm of overlapping sites of colonC18.9Malignant neoplasm of colon, unspecifiedC19Malignant neoplasm of rectosigmoid junctionC20Malignant neoplasm of rectumC21.0Malignant neoplasm of anus, unspecifiedC21.1Malignant neoplasm of anal canalC21.2Malignant neoplasm of cloacogenic zoneC21.8Malignant neoplasm of overlapping sites of rectum, anus and anal canalC22.0Liver cell carcinomaC22.1Intrahepatic bile duct carcinomaC22.2Hepatoblastoma
Peripheral Nerve BlocksLast review: May 7, 2021Page 7 of 40C22.3Angiosarcoma of liverC22.4Other sarcomas of liverC22.7Other specified carcinomas of liverC22.8Malignant neoplasm of liver, primary, unspecified as to typeC22.9Malignant neoplasm of liver, not specified as primary or secondaryC23Malignant neoplasm of gallbladderC24.0Malignant neoplasm of extrahepatic bile ductC24.1Malignant neoplasm of ampulla of VaterC24.8Malignant neoplasm of overlapping sites of biliary tractC24.9Malignant neoplasm of biliary tract, unspecifiedC25.0Malignant neoplasm of head of pancreasC25.1Malignant neoplasm of body of pancreasC25.2Malignant neoplasm of tail of pancreasC25.3Malignant neoplasm of pancreatic ductC25.4Malignant neoplasm of endocrine pancreasC25.7Malignant neoplasm of other parts of pancreasC25.8Malignant neoplasm of overlapping sites of pancreasC25.9Malignant neoplasm of pancreas, unspecifiedC26.0Malignant neoplasm of intestinal tract, part unspecifiedC26.1Malignant neoplasm of spleenC26.9Malignant neoplasm of ill-defined sites within the digestive systemC30.0Malignant neoplasm of nasal cavityC30.1Malignant neoplasm of middle earC31.0Malignant neoplasm of maxillary sinusC31.1Malignant neoplasm of ethmoidal sinusC31.2Malignant neoplasm of frontal sinusC31.3Malignant neoplasm of sphenoid sinusC31.8Malignant neoplasm of overlapping sites of accessory sinusesC31.9Malignant neoplasm of accessory sinus, unspecifiedC32.0Malignant neoplasm of glottisC32.1Malignant neoplasm of supraglottisC32.2Malignant neoplasm of subglottisC32.3Malignant neoplasm of laryngeal cartilageC32.8Malignant neoplasm of overlapping sites of larynxC32.9Malignant neoplasm of larynx, unspecifiedC33Malignant neoplasm of tracheaC34.01Malignant neoplasm of right main bronchusC34.02Malignant neoplasm of left main bronchusC34.11Malignant neoplasm of upper lobe, right bronchus or lungC34.12Malignant neoplasm of upper lobe, left bronchus or lungC34.2Malignant neoplasm of middle lobe, bronchus or lungC34.31Malignant neoplasm of lower lobe, right bronchus or lungC34.32Malignant neoplasm of lower lobe, left bronchus or lung
Peripheral Nerve BlocksLast review: May 7, 2021Page 8 of 40C34.81Malignant neoplasm of overlapping sites of right bronchus and lungC34.82Malignant neoplasm of overlapping sites of left bronchus and lungC34.91Malignant neoplasm of unspecified part of right bronchus or lungC34.92Malignant neoplasm of unspecified part of left bronchus or lungC37Malignant neoplasm of thymusC38.0Malignant neoplasm of heartC38.1Malignant neoplasm of anterior mediastinumC38.2Malignant neoplasm of posterior mediastinumC38.3Malignant neoplasm of mediastinum, part unspecifiedC38.4Malignant neoplasm of pleuraC38.8Malignant neoplasm of overlapping sites of heart, mediastinum and pleuraC39.0Malignant neoplasm of upper respiratory tract, part unspecifiedC39.9Malignant neoplasm of lower respiratory tract, part unspecifiedC40.01Malignant neoplasm of scapula and long bones of right upper limbC40.02Malignant neoplasm of scapula and long bones of left upper limbC40.11Malignant neoplasm of short bones of right upper limbC40.12Malignant neoplasm of short bones of left upper limbC40.21Malignant neoplasm of long bones of right lower limbC40.22Malignant neoplasm of long bones of left lower limbC40.31Malignant neoplasm of short bones of right lower limbC40.32Malignant neoplasm of short bones of left lower limbC40.81Malignant neoplasm of overlapping sites of bone and articular cartilage of right limbC40.82Malignant neoplasm of overlapping sites of bone and articular cartilage of left limbC40.91Malignant neoplasm of unspecified bones and articular cartilage of right limbC40.92Malignant neoplasm of unspecified bones and articular cartilage of left limbC41.0Malignant neoplasm of bones of skull and faceC41.1Malignant neoplasm of mandibleC41.2Malignant neoplasm of vertebral columnC41.3Malignant neoplasm of ribs, sternum and clavicleC41.4Malignant neoplasm of pelvic bones, sacrum and coccyxC41.9Malignant neoplasm of bone and articular cartilage, unspecifiedC43.0Malignant melanoma of lipC43.111Malignant melanoma of right upper eyelid, including canthusC43.112Malignant melanoma of right lower eyelid, including canthusC43.121Malignant melanoma of left upper eyelid, including canthusC43.122Malignant melanoma of left lower eyelid, including canthusC43.21Malignant melanoma of right ear and external auricular canalC43.22Malignant melanoma of left ear and external auricular canalC43.30Malignant melanoma of unspecified part of faceC43.31Malignant melanoma of noseC43.39Malignant melanoma of other parts of faceC43.4Malignant melanoma of scalp and neckC43.51Malignant melanoma of anal skin
Peripheral Nerve BlocksLast review: May 7, 2021Page 9 of 40C43.52Malignant melanoma of skin of breastC43.59Malignant melanoma of other part of trunkC43.61Malignant melanoma of right upper limb, including shoulderC43.62Malignant melanoma of left upper limb, including shoulderC43.71Malignant melanoma of right lower limb, including hipC43.72Malignant melanoma of left lower limb, including hipC43.8Malignant melanoma of overlapping sites of skinC43.9Malignant melanoma of skin, unspecifiedC44.00Unspecified malignant neoplasm of skin of lipC44.01Basal cell carcinoma of skin of lipC44.02Squamous cell carcinoma of skin of lipC44.09Other specified malignant neoplasm of skin of lipC44.1021Unspecified malignant neoplasm of skin of right upper eyelid, including canthusC44.1022Unspecified malignant neoplasm of skin of right lower eyelid, including canthusC44.1091Unspecified malignant neoplasm of skin of left upper eyelid, including canthusC44.1092Unspecified malignant neoplasm of skin of left lower eyelid, including canthusC44.1121Basal cell carcinoma of skin of right upper eyelid, including canthusC44.1122Basal cell carcinoma of skin of right lower eyelid, including canthusC44.1191Basal cell carcinoma of skin of left upper eyelid, including canthusC44.1192Basal cell carcinoma of skin of left lower eyelid, including canthusC44.1221Squamous cell carcinoma of skin of right upper eyelid, including canthusC44.1222Squamous cell carcinoma of skin of right lower eyelid, including canthusC44.1291Squamous cell carcinoma of skin of left upper eyelid, including canthusC44.1292Squamous cell carcinoma of skin of left lower eyelid, including canthusC44.131Sebaceous cell carcinoma of skin of unspecified eyelid, including canthusC44.1321Sebaceous cell carcinoma of skin of right upper eyelid, including canthusC44.1322Sebaceous cell carcinoma of skin of right lower eyelid, including canthusC44.1391Sebaceous cell carcinoma of skin of left upper eyelid, including canthusC44.1392Sebaceous cell carcinoma of skin of left lower eyelid, including canthusC44.1921Other specified malignant neoplasm of skin of right upper eyelid, including canthusC44.1922Other specified malignant neoplasm of skin of right lower eyelid, including canthusC44.1991Other specified malignant neoplasm of skin of left upper eyelid, including canthusC44.1992Other specified malignant neoplasm of skin of left lower eyelid, including canthusC44.202Unspecified malignant neoplasm of skin of right ear and external auricular canalC44.209Unspecified malignant neoplasm of skin of left ear and external auricular canalC44.212Basal cell carcinoma of skin of right ear and external auricular canalC44.219Basal cell carcinoma of skin of left ear and external auricular canalC44.222Squamous cell carcinoma of skin of right ear and external auricular canalC44.229Squamous cell carcinoma of skin of left ear and external auricular canalC44.292Other specified malignant neoplasm of skin of right ear and external auricular canalC44.299Other specified malignant neoplasm of skin of left ear and external auricular canalC44.300Unspecified malignant neoplasm of skin of unspecified part of faceC44.301Unspecified malignant neoplasm of skin of nose
Peripheral Nerve BlocksLast review: May 7, 2021Page 10 of 40C44.309Unspecified malignant neoplasm of skin of other parts of faceC44.310Basal cell carcinoma of skin of unspecified parts of faceC44.311Basal cell carcinoma of skin of noseC44.319Basal cell carcinoma of skin of other parts of faceC44.320Squamous cell carcinoma of skin of unspecified parts of faceC44.321Squamous cell carcinoma of skin of noseC44.329Squamous cell carcinoma of skin of other parts of faceC44.390Other specified malignant neoplasm of skin of unspecified parts of faceC44.391Other specified malignant neoplasm of skin of noseC44.399Other specified malignant neoplasm of skin of other parts of faceC44.40Unspecified malignant neoplasm of skin of scalp and neckC44.41Basal cell carcinoma of skin of scalp and neckC44.42Squamous cell carcinoma of skin of scalp and neckC44.49Other specified malignant neoplasm of skin of scalp and neckC44.500Unspecified malignant neoplasm of anal skinC44.501Unspecified malignant neoplasm of skin of breastC44.509Unspecified malignant neoplasm of skin of other part of trunkC44.510Basal cell carcinoma of anal skinC44.511Basal cell carcinoma of skin of breastC44.519Basal cell carcinoma of skin of other part of trunkC44.520Squamous cell carcinoma of anal skinC44.521Squamous cell carcinoma of skin of breastC44.529Squamous cell carcinoma of skin of other part of trunkC44.590Other specified malignant neoplasm of anal skinC44.591Other specified malignant neoplasm of skin of breastC44.599Other specified malignant neoplasm of skin of other part of trunkC44.602Unspecified malignant neoplasm of skin of right upper limb, including shoulderC44.609Unspecified malignant neoplasm of skin of left upper limb, including shoulderC44.612Basal cell carcinoma of skin of right upper limb, including shoulderC44.619Basal cell carcinoma of skin of left upper limb, including shoulderC44.622Squamous cell carcinoma of skin of right upper limb, including shoulderC44.629Squamous cell carcinoma of skin of left upper limb, including shoulderC44.692Other specified malignant neoplasm of skin of right upper limb, including shoulderC44.699Other specified malignant neoplasm of skin of left upper limb, including shoulderC44.702Unspecified malignant neoplasm of skin of right lower limb, including hipC44.709Unspecified malignant neoplasm of skin of left lower limb, including hipC44.712Basal cell carcinoma of skin of right lower limb, including hipC44.719Basal cell carcinoma of skin of left lower limb, including hipC44.722Squamous cell carcinoma of skin of right lower limb, including hipC44.729Squamous cell carcinoma of skin of left lower limb, including hipC44.792Other specified malignant neoplasm of skin of right lower limb, including hipC44.799Other specified malignant neoplasm of skin of left lower limb, including hipC44.80Unspecified malignant neoplasm of overlapping sites of skin
Peripheral Nerve BlocksLast review: May 7, 2021Page 11 of 40C44.81Basal cell carcinoma of overlapping sites of skinC44.82Squamous cell carcinoma of overlapping sites of skinC44.89Other specified malignant neoplasm of overlapping sites of skinC44.90Unspecified malignant neoplasm of skin, unspecifiedC44.91Basal cell carcinoma of skin, unspecifiedC44.92Squamous cell carcinoma of skin, unspecifiedC44.99Other specified malignant neoplasm of skin, unspecifiedC4A.111Merkel cell car
Injections for plantar fasciitis are addressed by CPT code 20550, not CPT code 64450. Injections for calcaneal spurs are addressed as are other tendon origin/insertions by CPT code 20551. Injections to include both the plantar fascia and the area around a calcaneal spur, are to be reported using only CPT code 20551 with a unit of service of .
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1 EOC Review Unit EOC Review Unit Table of Contents LEFT RIGHT Table of Contents 1 REVIEW Intro 2 REVIEW Intro 3 REVIEW Success Starters 4 REVIEW Success Starters 5 REVIEW Success Starters 6 REVIEW Outline 7 REVIEW Outline 8 REVIEW Outline 9 Step 3: Vocab 10 Step 4: Branch Breakdown 11 Step 6 Choice 12 Step 5: Checks and Balances 13 Step 8: Vocab 14 Step 7: Constitution 15
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May 1 – 2, 2021 Eucharistic Minister Schedule May 1, 2021 6:00 pm May 2, 2021 8:00 am May 2, 2021 10:00 am May 2, 2021 12:30 pm May 2, 2021 5:30 pm F F F * Stephenie Brockish F 5 Maritza Torres 5 Jennifer Hesser 5 Christy Kreinest 5 Todd Brockish E * E E E Lisa McQuagge 4 Paula Turpening 4 Ken Hesser 4 Keith Myers 4 Ed Harmon D D D * D Monica Cuellar
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