Anesthesia Coding Alert

Post-Procedure Care:

Manage Your 01996 Reporting Correctly: Real World Scenarios Show You How

LCDs and other resources to help you determine when 01996 is legit. The descriptor for 01996 (Daily hospital management of epidural or subarachnoid continuous drug administration) seems simple enough on the surface, but can get complicated in real-life coding. Read on for three scenarios from the Coding 911 listserv and our experts' answers on how to handle each situation. Global Periods Help Steer Your 01996 Usage Scenario 1: Our physician recently inserted an intrathecal pump, which is a three-day inpatient stay. We code the implant on the first day, but need to use a code for daily management of the intrathecal pump on the second and third days. We used to report 01996, but recently started having problems getting it paid. Medicare also says 01996 is inclusive to the stay. How do we handle this? (Submitted by Karen Went, Connecticut Paincare) Solution: Start by verifying the global period for the [...]
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