Nerve Blocks

BLOCK_MASTER

This is the index

It tells you:

• What the block is called
• Whether it’s central vs peripheral
• The anatomic region
• The block family (plexus, ganglion, peripheral nerve, fascial plane)

Use this to orient yourself

CLINICAL INDICATIONS

This sheet answers: “When does this block make sense?”

Each row is one indication, with:

• Clinical context (cancer, trauma, peri-procedural, chronic pain)
• Strength of support (high, moderate, low)
• Policy sensitivity (low vs high risk)

This is where you quickly see which uses are routine and which are likely to be questioned.

ANATOMY_TECHNIQUE

This sheet answers: “How do I describe what I actually did?”

It gives you:

• Plain-English target descriptions
• Billing-safe language
• Whether laterality is required
• Typical imaging guidance

Use this when dictating so your note clearly matches what the CPT code expects

CPT_MECHANICS

This is the coding logic sheet.

It explains:

• The correct CPT code (s)
• When add-on or continuous codes apply
• Block vs neurolysis distinctions
• When unlisted codes are appropriate
• Whether imaging guidance is included or separate

If there is any uncertainty about coding, this sheet is meant for that

COVERAGE_REALITY

This sheet answers: “What usually gets denied, and why?”

It summarizes:

• Coverage strength by indication
• Common denial reasons
• Bundling risk (low, moderate, high)
• The most defensible (“green zone”) scenarios

This reflects real payer behavior, not theoretical coverage.

DOCUMENTATION_LIBRARY

This is the copy-paste sheet.

It contains:

• Indication language
• Imaging language
• Target confirmation language
• Block vs neurolysis intent statements
• Unbundling or postoperative language when needed

Use this to standardize notes and avoid vague wording that triggers audits.