Anesthesia Coding Alert

Watch Injection Codes With Ob Services

Anesthesia-specific information sometimes gets lost in the long lists of National Correct Coding Initiative (NCCI) edits. But the latest version of edits (version 9.2), implemented July 1, included some edits that you should know about.
 
The edits paired several injection codes with virtually all maternity-care codes associated with excision, repair, delivery, abortion and other procedures. The injection codes are:

  • 62311 - 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

  • 64430* - Injection, anesthetic agent; pudendal nerve

  • 64435* - ... paracervical (uterine) nerve

  • 64483 - Injection, anesthetic agent and/or steroid, transforaminal epidural; lumbar or sacral, single level.

    Bundling these codes means that the injection is considered part of the more comprehensive maternity code. "Including these in the Ob codes is intended to prevent anesthesiologists from billing for an injection in addition to 01967 (Neuraxial labor analgesia/anesthesia for planned vaginal delivery [this includes any repeat subarachnoid needle placement and drug injection and/or any necessary replacement of an epidural catheter during labor])," says Barbara Johnson, CPC, MPC, coder with Loma Linda University Anesthesiology Medical Group in Loma Linda, Calif.

  • Other Articles in this issue of

    Anesthesia Coding Alert

    View All