Anesthesia Coding Alert

Reader questions:

64449 is your best choice for iliopsoas infusion

Question: What is the best way to code an iliopsoas infusion? Kentucky Subscriber Answer: Check with your provider for verification, but your most accurate choice probably is 64449 (Injection, anesthetic agent; lumbar plexus, posterior approach, continuous infusion by catheter [including catheter placement]). Here's why: The lumbar plexus passes through the iliopsoas muscle compartment and is the typical posterior access for a lumbar plexus block, which is why 64449 could apply. -- Answers to You Be the Coder and Reader Questions were provided by Scott Groudine, MD, an Albany, N.Y., anesthesiologist; and Marvel J. Hammer, RN, CPC, CCS-P, ACS-PM, CHCO, owner of MJH Consulting in Denver.
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