Wiki 01992??

[helen]

Anyone getting reimbursed by medicare for this pain management code? If so did you use a modifier? Is it considered post op pain manangement? Please advise

 

[enancy79]

You should be getting paid for this code. It is billed with the appropriate anesthesia modifiers and time. Check your local medical review policies. It requires a valid medical necessity diagnosis code per the policy to be payable. This code is used for anesthesia provided while another medical practitioner performs the block or injection.

 

[danachock]

01992

My opinion ~ Appeal this - send the anesthesia record which indicates the patient is in the prone position for proper reimbursement.
Thanks,
Dana Chock, CPC,CCA, CPMA, CHONC, CPMA, CPB