Pain Management Coding Alert
Assess the Possibilities for Post-op Adductor Canal Block
Question: How do you code an adductor canal block continuous catheter for post-op pain management after total knee replacement? Washington Subscriber Answer: According to CPT® Assistant (Nov. 2014), your best option is 64447 (Injection, anesthetic agent; femoral nerve, single) for a single injection. If you’re coding for a continuous adductor canal block instead, submit 64448 (Injection, anesthetic agent; femoral nerve, continuous infusion by catheter [including catheter placement]). Tip: Don’t include 01996 (Daily hospital management of epidural or subarachnoid continuous drug administration) on the same claim as 64487 or 64448, because the service covered by those procedure codes includes continuous drug delivery during the post–op period. Physicians administer femoral nerve injections in conjunction with surgery of the anterior thigh, quadriceps tendon, and knee area. The patient remains awake, but the entire anterior thigh and most of the femur and knee joint become anesthetized.
Pain Management Coding Alert
- CCI 21.2:
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Meet These 7 Criteria to Prepare for ICD-10 Documentation Changes
Hint: Experts recommend quick turn-arounds for completing records. With ICD-10 implementation mere months away, it’s [...] - You Be the Coder:
Pinpoint the Best Diagnosis for Abdominal Nerve Entrapment
Question: What is the correct ICD-9 code for abdominal nerve entrapment used to treat patients who [...] - Reader Questions:
Watch the Clock to Draw the Line Between 62311 and 62319
Question: What are the major differences between two catheter use codes 62311 and 62319? Code [...] - Reader Questions:
Assess the Possibilities for Post-op Adductor Canal Block
Question: How do you code an adductor canal block continuous catheter for post-op pain management [...] - Reader Questions:
Coding for Consult Hinges on 'Request for Opinion'
Question: A new patient came to see a physician in our practice to discuss whether she [...] - Reader Questions:
Steer Clear of 77003 With 62310-62319 for Medicare Patients
Question: There is so much confusion regarding billing 62310 and 62311 with 77003. Some payers say [...] - Reader Questions:
Payer Rules Help Guide Modifier 51 Use
Question: I have heard our coders saying that they don’t need to attach modifier 51 to [...]
