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Anesthesia Billing
4 months ago  ::  Apr 15, 2010 - 10:00PM #2
Ruthann
Posts: 2

Hello I saw you question regarding pain mgmt and post op. I am new to medical billing but was curious about your question.  So I did some research and this is what I came up with.  I hope this helps if not sorry for the inconvience.  Have a good day.


 



REPORTING POSTOPERATIVE PAIN PROCEDURES IN CONJUNCTION WITH ANESTHESIA



Postoperative Pain Control Procedures



When provided principally for postoperative pain control, peripheral nerve injections and neuraxial (spinal, epidural) injections can be separately reported on the day of surgery using the appropriate CPT procedure with modifier -59 (Distinct Procedural Service) and 1 unit of service. Examples of such procedures include:



62310-62319 Epidural or subarachnoid injections


64415-64416 Brachial plexus injection, single or continuous


64445-64448 Sciatic or femoral injections, single or continuous


64449 Lumbar plexus injections, continuous



These services should not be reported on the day of surgery if they constitute the surgical anesthetic technique.


Contractor NOTE: Modifier 59 requires that the medical record substantiate that the procedure or service was distinct or separate services performed on the same day."


6 months ago  ::  Feb 05, 2010 - 1:17PM #1
Debbie
Posts: 1

Can anyone tell me if there are any other codes I can use besides the pain management codes for post op pain for anesthesia's?  Some of the insurance companies are not paying for the pain management codes 64415 64416 62319 64445 etc.  Is there any other codes I can use to get paid for the doctor's doing the post op pain?  Appreciate any help.  Thank you.

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