Anesthesia Coding Alert
You Be the Coder:
Sedation During PICU Procedures
Published on Wed May 02, 2007
Question: Some of our physicians in the pediatric intensive care unit (PICU) perform sedation for procedures such as lumbar punctures. Can we code for this service? If so, how should we report it?
Kansas Subscriber
Answer: You don't mention whether the anesthesiologists use general or monitored anesthesia care (MAC), which can affect your coding. Verify which they administered, and code accordingly.
If they use general anesthesia, report the service with 00635 (Anesthesia for procedures in lumbar region; diagnostic or therapeutic lumbar puncture). If they use MAC, submit 00635, and append modifier QS (Monitored anesthesia care service).
Other Articles in this issue of
Anesthesia Coding Alert
- Pain Management Corner:
4 Simple Ways to Make the Most of Your Injection Claims
Train physicians to clearly document the muscles--so you can code correctly
Your pain management specialist probably [...] - Up-Front Documentation:
Distinguishing Between ABNs And NEMBs Equal Clean Claims
Follow these steps to use the right form every time
Ideally, Medicare reimburses your anesthesiologist or [...] - You Be the Coder:
Sedation During PICU Procedures
Question: Some of our physicians in the pediatric intensive care unit (PICU) perform sedation for [...] - Collections Corner:
Discover 8 Fresh Ideas for Finding Untapped Revenue
Turn a negative into a positive with these quick steps
Keeping your physicians from taking advantage [...] - READER QUESTIONS:
Sift Through Symphysis Pubis Injection Choices
Question: How should I code a symphysis pubis injection?
[...] - READER QUESTIONS:
Go With 'Unlisted' for Intradiscal Injection
Question: Our pain specialist injected a disc's nucleus with an anesthetic agent and a steroid [...] - READER QUESTIONS:
Capture Everything With Multiple Services and TEE
Question: Our physician provided anesthesia during a triple bypass vein graft (off pump). The anesthesiologist [...] - READER QUESTIONS:
Avoid Bilateral Modifiers With 64613
Question: My physician injected five muscles on both sides of the patient's neck, all bilaterally. [...] - READER QUESTIONS:
Infusion Pump Injection and Evaluation
Question: Our pain specialist used fluoroscopy to inject medication into a patient's infusion pump. She [...] - READER QUESTIONS:
Situation Determines How You Code 2-CRNA L&D Case
Question: Two of our CRNAs provided anesthesia during a labor and delivery case. The first [...]
View All
