Pain Management Payment Information

The following chart provides payment information that is based on the national unadjusted Medicare physician fee schedule for the ultrasound services discussed. Payment will vary by geographic region.

The information provided below is intended to assist providers in determining appropriate codes and the other information for reimbursement purposes. It represents the information available to United Medical Instruments as of January 2012. Subsequent guidance might alter the information provided. United Medical Instruments disclaims any responsibility to update the information provided. It is the provider’s responsibility to determine and submit appropriate codes, modifiers, and claims for the services rendered. Before filing any claims, providers should verify current requirements and policies with the applicable payer.

Pain Management Ultrasound and Procedural CPT Codes and Descriptions

Ultrasound Evaluation

2012 Medicare Physician Fee Schedule
CPT Code
 Code Description

Global in Office Allowable
76942 Ultrasonic guidance for needle placement (e.g., biopsy, aspiration, injection, localization device), imaging supervision and interpretation $206.61

Procedures

2012 Medicare Physician Fee Schedule
CPT Code
 Code Description

Global in Office Allowable
64405 Injection, anesthetic agent; greater occipital nerve $97.01
64413 Injection, anesthetic agent; cervical plexus $123.56
64415 Injection, anesthetic agent; brachial plexus, single $124.24
64417 Injection, anesthetic agent; axillary nerve $133.09
64418 Injection, anesthetic agent; suprascapular nerve $138.87
64420 Injection, anesthetic agent; intercostal nerve, single $125.94
64421 Injection, anesthetic agent; intercostal nerves, multiple, regional block $177.68
64425 Injection, anesthetic agent; ilioinguinal, iliohypogastric nerves $134.45
64445 Injection, anesthetic agent; sciatic nerve, single $136.15
64447 Injection, anesthetic agent; femoral nerve, single 124.24
64510 Injection, anesthetic agent; stellate ganglion $135.13


CPT™ five digit codes, nomenclature and other data are Copyright 2010 American Medical Association. All rights reserved. No fee schedules, basic units, relative values or related listings are included in CPT. The AMA assumes no liability for the data contained herein. Applicable FARS/DFARS restrictions apply to government use.

Deficit Reduction Act of 2005 Adjustment has not been figured into the above global fees.