Anesthesia Coding Alert
Confirm Approach for Translaminar Epidural
Question: How should I code a translaminar epidural? Washington Subscriber Answer: Verify with your provider whether he used an interlaminar epidural approach (between the lamina) or a transforaminal approach (through the foramen). Look to epidural codes 62310 (Injection, single [not via indwelling catheter], not including neurolytic substances, with or without contrast [for either localization or epidurography], of diagnostic or therapeutic substance[s] [including anesthetic, antispasmodic, opioid, steroid, other solution], epidural or subarachnoid; cervical or thoracic) and 62311 (... lumbar, sacral [caudal]) to report a standard interlaminar epidural approach. Choose from 64479-64484 (Injection, anesthetic agent and/or steroid, transforaminal epidural ...) for the transforaminal approach.
Anesthesia Coding Alert
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Save Time and Trouble by Using ABNs Correctly
Know when and how to rely on this tool ‧‧ but don't expect to always [...] - Test Yourself:
Check Your ABN Knowledge
Be alert for situations that require ABNs -- and those that don't Sometimes [...] - NCCI Update:
Watch for These Anesthesia Changes in Version 13.1
Pay particular attention to your T-code claims -- they take the biggest hit [...] - You Be the Coder:
Catch All Time With Vaginal/C-Section Case
Question: How should I report time on a single claim when a patient converts from [...] - READER QUESTIONS:
Damage Determines Biceps Tear Diagnosis
Question: What diagnosis should I report for a biceps tear? I haven't found it in [...] - READER QUESTIONS:
Code Conjoined-Twins Case Separately
Question: Two of our anesthesiologists participated in a cased of separating 2-year-old conjoined twins. Anesthesiologist [...] - READER QUESTIONS:
Catheter Placement and Follow-ups
Question: Our pain specialist placed a patient's lumbar epidural catheter on Monday and administered a [...] - READER QUESTIONS:
Separate Times to Make Separate Payments Easier
Question: How should I separate anesthesia charges for nasal repair procedures (such as 30465 or [...] - READER QUESTIONS:
Confirm Approach for Translaminar Epidural
Question: How should I code a translaminar epidural? Washington Subscriber Answer: Verify with [...] - READER QUESTIONS:
Verify Carrier Requirements for Occipital Injection
Question: Several carriers deny our claims for greater occipital nerve blocks with 64405. How should [...] - READER QUESTIONS:
01991, 01992 Cover CRNA Assist With PM
Question: A CRNA helps our pain management specialist on procedure days in the office. She [...]
