Wiki Daily Management of Paravertebral Catheter Coding

stacy

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Kersey, PA
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Looking for any guidance on reporting daily management for a paravertebral catheter. For anesthesia billing (post operative management) looking to code subsequent hospital care or would an unlisted code 64999 be reported for daily catheter management. (Example below)

Impression and Plan
Impression:
Diagnosis: Acute postoperative pain: ICD10-CM G89.18, Working, Medical.
Pain control: Good.

PMH of GERD and metastatic colon cancer

POD#3: s/p CRS/HIPEC

AIPPS consulted for perioperative management: s/p ITM + b/l T10 PVNBC on 12/16/24

Plan:
No significant events overnight and during am rounds
Paused remaining PVNBC during am rounds
If pain levels do not increase, will D/C catheter 12/19
Wean Ketamine gtt to 5 mg/hr and D/C after 12 pm 12/19
MMA per primary team
 
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