Anesthesia Coding Alert

Reader Question:

Daily Management

Question: Can an anesthesiologist who places an epidural catheter post-op and provides daily management thereafter, bill for pulling the catheter?
New Jersey Subscriber

Answer: We bill for daily management, 01996 (daily management of epidural or subarachnoid drug administration) if the epidural was not originally used to administer the anesthesia during the surgery. You can bill with 62311 (injection, single [not via indwelling catheter], not including neurolytic substances, with or without contrast [for either localization or epidurography], of diagnostic or therapeutic substance[s] [including anesthetic, antispasmodic, opioid, steroid, other solution], epidural or subarachnoid; lumbar, sacral) along with modifier -59 (distinct procedural service). Daily
management thereafter would be billed with 01996.