How would you bill 58563 along with 64435?

Our physicians is billing 58563 along with 64435 but the carriers are denying the 64435 as bundled into the procedure. Per our physician the nerve block should be seperately payable, any suggustions.

re: How would you bill 58563 along with 64435?

Medicare CCI edits will not allow code 64435 separate reimbursement when billed with code 58563. There is a 0 indicator for this code pair and you will not get paid by Medicare for 64435, even with a modifier.