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Statement. CPT codes, descriptions and other data only are PUB 100-03 Medicare National Coverage Determinations (NCD) Manual- Chapter 1 Section: 30.3 – . 64405. INJECTION, ANESTHETIC AGENT; GREATER OCCIPITAL NERVE. 3 May 2013 Some may process only one unit of 64405 for reimbursement no matter However, you won't find a separate CPT code for the bilateral GON Last Review Date: 01/15/2019. Related Medicare Advantage Policy Guidelines: .. Injection, Anesthetic Agent, Greater Occipital Nerve (CPT code 64405). unable to use patient testimonials as evidence for coverage. LCD only includes the CPT code 64450, other peripheral nerve or branch and does intercostal nerves multiple regional block, 64405 greater occipital nerve or any other specific One commenter pointed out that there are other Medicare Contractor LCDs that 15 May 2017 Hi All, Does anyone have any info on getting the 64405 paid for blocks to treat migraines but Medicare is not covering this procedure with any 3 Feb 2012 CPT codes, descriptions and other data only CMS National Coverage Policy Medicare will consider peripheral nerve blocks medically 64405. INJECTION, ANESTHETIC AGENT; GREATER OCCIPITAL NERVE. 64412. THIS MEDICAL COVERAGE GUIDELINE APPLIES TO ALL LINES OF BUSINESS . Medicare Advantage: The following Local Coverage Determination (LCD) was .. Added coverage statement for CPT 64405, occipital nerve blocks (E/I).21 Sep 2016 CPT CODE 64450, 64415, 64405, 01630, 01820, 01400 . 28 Texas Administrative Code §134.203(a)(5) states “Medicare payment the respondent denied reimbursement for CPT code 64415 based upon reason code “97. 24 Jun 2013 20552 & 64405. the carrier guidelines, because insurances like say Oxford follow Medicare's rule completely All of this is in your CPT book. 1 Oct 2017 100-04, Medicare Claims Processing Manual, Chapter 12, Section 50 . Coverage for CPT codes 64400, 64402, 64405, 64413, 64415, 64416,