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Billing an inferior alveolar nerve block for dental pain

The scenario

29F with dental pain. You perform an inferior alveolar nerve block for pain relief. Day shift.

How to bill it

01124 nerve block $65.62 + Level 1 (01811) at 50% = $22.18, total $87.80. The 50% rule applies: the greater fee (the block) is paid in full and the level code at 50%. The nerve block IS billable because it is therapeutic/diagnostic and there is no other procedure code in this encounter. If a procedure were also billed (e.g. lac repair), the nerve block would be rejected.

What to watch for

Is a nerve block billable here? Consider whether any procedure code is also being billed.

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