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When coding for a block along with the Anesthesia code should the diagnosis be documented on the anesthesia record as post op pain relief? Thank you in advance for any direction given!
Hi, I currently use 338.18 dx for post operative pain management. Only when the surgeon requests it, it's done pre-operatively for the sole purpose of post operative pain management. Our anesthesia record states it.
Be prepared to appeal with notes.
Also for I-10 look to the guidelines.
Thanks,
Dana Chock, CPC, CCA, CANPC, CHONC, CPMA, CPB
Anesthesia, Pathology, & Laboratory Coder