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Anesthesia Coding Alert

Reader Question:

Avoid Separate Coding for Bier Block

Published on Thu Jan 06, 2011

Question: Our physician used a Bier block during treatment of CRPS-upper extremity. Is there a Medicaid approved code for Bier block that we can submit? Indiana Subscriber Answer: Physicians usually administer Bier blocks along with monitored anesthesia care (MAC), but can use the block in conjunction with other anesthesia routes. In any case, the fee for MAC or any other anesthesia includes Bier block, so you shouldn't report the block separately. Just submit the appropriate anesthesia or surgical procedure code for the treatment.
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