Coverage Added for Transversus Abdominis Plane Blocks

Tuesday, December 22, 2020

Effective Oct. 1, 2020, NC Medicaid will now cover services for transversus abdominis plane (TAP) blocks for DHB BSG NCXIX (Medicaid) and DHB BSG NCHC (NC Health Choice) beneficiaries 11 years and older. The following codes are included:

Code

Description

64486

TAP block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed)

64487

TAP block (abdominal plane block, rectus sheath block) unilateral; by continuous infusion(s) (includes imaging guidance, when performed)

64488

TAP block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed)

64489

TAP block (abdominal plane block, rectus sheath block) bilateral; by continuous infusion(s) (includes imaging guidance, when performed)

Claim denials for dates of service after the effective date of Oct. 1, 2020, may be resubmitted for reprocessing.

Contact

NCTracks Contact Center: 800-688-6696