Anesthesia Coding Alert

READER QUESTIONS:

01992 Based on Who Performed Procedure

Question: Can I bill 01992 for anesthesia for code 62311?

Texas Subscriber

Answer: It depends on who performed the block. For 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 [caudal]), you can bill 01992 (Anesthesia for diagnostic or therapeutic nerve blocks and injections [when block or injection is performed by a different provider]; prone position) for the anesthesia if the injection is given by a physician other than your anesthesiologist.

If your physician is doing the block, use 62311, which has eight base units and no time. If your physician is not doing the block but providing anesthesia for someone else doing the block, use 01992, which has five base units plus time.

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