Anesthesia Coding Alert
Several Choices for Ganglion Impar Block
Question: Which code should I report for a ganglion impar block? Mississippi Subscriber Answer: Reporting a ganglion impar block is one of the gray areas of coding that doesn't seem to have a consensus of opinion on the best code. Some coders recommend 64530 (Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring). Others recommend using the 20-unit code 64640 (Destruction by neurolytic agent; other peripheral nerve or branch) if it is a neurolytic injection. Your last option is to report CPT 64999 (Unlisted procedure, nervous system) at 12 RVUs. Many carriers, such as Medicare carrier First Coast Options in Florida, require 64999 for ganglion impar blocks along with documentation of medical necessity.
Anesthesia Coding Alert
- NCCI 10.2 Update:
Anesthesia, Pain Management Edits Are Easy to Incorporate
Check for changes affecting injection, hernia, TIPS coding Version 10.2 of the National Correct Coding [...] - Back to Basics:
Understanding Modifier -59 Can Make or Break Claims
Know when same-day services qualify as 'separate' Anesthesia providers often perform more than one service [...] - You Be the Coder:
Several Choices for Ganglion Impar Block
Question: Which code should I report for a ganglion impar block? Mississippi Subscriber Answer: Reporting [...] - Pain Management Focus:
Make Modifier -51 Your Friend
Follow these 5 tips for correctly reporting multiple PM services Anesthesia-only coders might not use [...] - Reader Question:
Understand Rules for Reporting G0260
Question: When should I report HCPCS G0260 during a sacroiliac (SI) joint injection [...] - Reader Question:
Document to Meet Medicare Guidelines
Question: Does Medicare have specific requirements regarding how the anesthesiologist describes the procedure in the [...] - Reaer Question:
01999 Best Option for Hiccough Cure Coding
Question: Our anesthesiologist spent 30 minutes using an IV administration of Lidocaine, Deprovan and Anectine [...] - Reader Question:
Ask Carrier How to Split MD, CRNA Fees
Question: One of our carriers wants us to split-bill for a case involving a CRNA [...] - Reader Question:
Consider Category III Code for OATS
Question: What are the correct codes for an osteochondral autograft transfer system (OATS) procedure for [...] - Reader Question:
Use Correct Modifiers for Multiple Providers
Question: Our anesthesiologist provided medical direction to a CRNA involved in a several-hour trauma case [...]
